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Organization
FRANCISCAN MEDICAL GROUP
Active
Organization
FRANCISCAN MEDICAL GROUP
Active
Other names
Franciscan Medical Clinic-Bonney Lake
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTA JO WITTORF (REGIONAL VP FINANCE, NORTHWEST)
(509) 551-5319
Entity
Organization
Contact information
Practice address
9230 SKY ISLAND DR E, BONNEY LAKE, WA 98391-7385
(253) 750-6000
Mailing address
9230 SKY ISLAND DR E, BONNEY LAKE, WA 98391-7385
(253) 750-6000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
—
NULL
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/18/2013
Last updated
09/29/2026
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