Organization
OPTUM CARE WASHINGTON PLLC
Active
Parent organization
EVERETT PHYSICIANS, INC. P.S.
Other names
Optum - Thomas Lake
Organization subpart
Yes
Provider details
NPI number
Legal business name
EVERETT PHYSICIANS, INC. P.S.
Authorized official
GEORGE GO M.D. (BOARD PRESIDENT)
(425) 259-0966
Entity
Organization
Contact information
Practice address
3916 148TH ST SE, MILL CREEK, WA 98012-4751
(425) 304-1100
(425) 304-1102
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 304-1100
(425) 304-1102
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
291U00000X
Clinical Medical Laboratory
—
WA
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/10/2016
Last updated
04/08/2024
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