Organization
FRANCISCAN MEDICAL GROUP
Active
Parent organization
FRANCISCAN MEDICAL GROUP
Other names
NW Neurology
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRANCISCAN MEDICAL GROUP
Authorized official
CLIFF ROBERTSON (CHIEF MEDICAL OFFICER)
(253) 779-6101
Entity
Organization
Contact information
Practice address
11311 BRIDGEPORT WAY SW, STE 301, LAKEWOOD, WA 98499-3071
(253) 512-2744
(253) 512-2853
Mailing address
11311 BRIDGEPORT WAY SW, STE 301, LAKEWOOD, WA 98499-3071
(253) 512-2744
(253) 512-2853
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0216109
STATE L&I
WA
05
—
7118185
—
WA
Enumeration date
08/02/2006
Last updated
06/12/2012
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