# FRANCISCAN MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FRANCISCAN MEDICAL GROUP
- **Other names:** Pacific NW Maternal Fetal Medicine
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1629016936
- **Legal business name:** FRANCISCAN MEDICAL GROUP
- **Authorized official:** DR. CLIFF A ROBERTSON MD (CHIEF MEDICAL OFFICER)
- **Authorized official phone:** (253) 779-6101

## Contact information

- **Practice address:** 1708 YAKIMA AVE, STE 202, TACOMA, WA 98405-5307
- **Practice address phone:** (253) 426-6878
- **Practice address fax:** (253) 426-4254
- **Mailing address:** 1708 YAKIMA AVE, STE 202, TACOMA, WA 98405-5307
- **Mailing address phone:** (253) 426-6878
- **Mailing address fax:** (253) 426-4254

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VM0101X | Maternal & Fetal Medicine Physician | MD00023541 | WA | Yes |

## Other

- **Enumeration date:** 06/02/2006
- **Last updated:** 06/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0177600 | STATE L&I | WA |
| 05 | — | 7117997 | — | WA |
| 01 | — | 8933554 | STATE CRIME VICTIMS | WA |