# MPS CLINICAL SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942842257
- **Authorized official:** STEPHEN L BOULANGER PHARM (DIRECTOR)
- **Authorized official phone:** (425) 673-5200

## Contact information

- **Practice address:** 22316 70TH AVE W STE 5, MOUNTLAKE TERRACE, WA 98043-2184
- **Practice address phone:** (425) 673-5200
- **Practice address fax:** (425) 673-5230
- **Mailing address:** PO BOX 3196, LYNNWOOD, WA 98046-3196
- **Mailing address phone:** (425) 673-5200
- **Mailing address fax:** (425) 673-5230

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/09/2019
- **Last updated:** 10/09/2019