Organization
PRIMARY CARE REDMOND, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA ANN VAN HOFF ARNP (OWNER)
(425) 895-8600
Entity
Organization
Contact information
Practice address
8301 161ST AVE NE, SUITE 100, REDMOND, WA 98052-3858
(425) 895-8600
Mailing address
8301 161ST AVE NE, SUITE 100, REDMOND, WA 98052-3858
(425) 895-8600
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
AP30001935
WA
261QP2300X
Primary Care Clinic/Center
Primary
AP30004449
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497737316
INDIVIDUAL NPI
—
01
—
1588676001
INDIVIDUAL NPI
—
01
—
8850455
WA MEDICARE NUMBER
WA
01
—
AB17259
WA MEDICARE NUMBER
WA
Enumeration date
12/08/2011
Last updated
12/08/2011
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