Organization
FOOTHILLS INTERNAL MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE MARIE HOUTZ M.D. (OWNER)
(360) 825-8900
Entity
Organization
Contact information
Practice address
2820 GRIFFIN AVE, SUITE 204, ENUMCLAW, WA 98022-2373
(360) 825-8900
Mailing address
2820 GRIFFIN AVE, SUITE 204, ENUMCLAW, WA 98022-2373
(360) 825-8900
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
603032697
WA
Other
Enumeration date
07/30/2010
Last updated
07/30/2010
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