Organization
PUBLIC HOSPITAL DISTRIST NO. 1 OF SNOHOMISH COUNTY
Active
Parent organization
PUBLIC HOSPITAL DISTRICT NO. 1 OF SNOHOMISH COUNTY
Other names
Valley General Hospital Wound Care Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
PUBLIC HOSPITAL DISTRICT NO. 1 OF SNOHOMISH COUNTY
Authorized official
MRS. DEBRA S BARKER (CREDENTIALING)
(360) 794-1447
Entity
Organization
Contact information
Practice address
14701 179TH AVE SE, MONROE, WA 98272-1108
(360) 794-1447
(360) 794-1427
Mailing address
14701 179TH AVE SE, MONROE, WA 98272-1108
(360) 794-1447
(360) 794-1427
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G001255800
MEDICARE PTAN#
WA
Enumeration date
12/16/2008
Last updated
12/22/2008
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