Organization
HEALTHVISION INTERNATIONAL
Active
Other names
Bayview Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH LYNN BAKKEN D.O. (PRESIDENT)
(253) 779-5858
Entity
Organization
Contact information
Practice address
2200 N 30TH ST, SUITE 201, TACOMA, WA 98403-3364
(253) 779-5858
(253) 779-5757
Mailing address
2200 N 30TH ST, SUITE 201, TACOMA, WA 98403-3364
(253) 779-5858
(253) 779-5757
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OP00000753
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1116359
—
WA
Enumeration date
06/05/2008
Last updated
06/05/2008
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