Organization
FRANCISCAN MEDICAL GROUP
Active
Parent organization
FRANCISCAN MEDICAL GROUP
Other names
Franciscan Ear, Nose & Throat Associates (Federal Way)
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRANCISCAN MEDICAL GROUP
Authorized official
CLIFF ROBERTSON MD (CHIEF MEDICAL OFFICER)
(253) 779-6101
Entity
Organization
Contact information
Practice address
34503 9TH AVE S, SUITE 230, FEDERAL WAY, WA 98003-8727
(253) 945-0600
Mailing address
34503 9TH AVE S, SUITE 230, FEDERAL WAY, WA 98003-8727
(253) 945-0600
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
231H00000X
Audiologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0208420
STATE L&I
WA
05
—
7133051
—
WA
Enumeration date
05/06/2006
Last updated
08/01/2011
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