Organization
OPTUM CARE WASHINGTON PLLC
Active
Organization
OPTUM CARE WASHINGTON PLLC
Active
Parent organization
EVERETT PHYSICIANS, INC. P.S.
Other names
Optum-PHCY at Main
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
3909 HOYT AVE, EVERETT, WA 98201-4918
(425) 317-3620
(425) 259-2857
Mailing address
PO BOX 2747, EVERETT, WA 98213-0747
(425) 317-3941
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
CF00056690
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4903692
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
6023741
—
WA
Enumeration date
11/09/2006
Last updated
04/09/2024
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