Organization
OPTUM CARE WASHINGTON PLLC
Active
Other names
Optum - PHCY Harbour Pointe
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE GO M.D. (BOARD PRESIDENT)
(425) 258-3900
Entity
Organization
Contact information
Practice address
4410 106TH ST SW, MUKILTEO, WA 98275-4700
(425) 493-6005
(425) 493-6035
Mailing address
PO BOX 2747, EVERETT, WA 98213-0747
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
CF00056689
WA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4920460
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
6008841
—
WA
Enumeration date
11/08/2006
Last updated
04/08/2024
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