Organization
OPTUM CARE WASHINGTON PLLC
Active
Parent organization
EVERETT PHYSICIANS, INC. P.S.
Other names
Optum - Harbour Pointe
Organization subpart
Yes
Provider details
NPI number
Legal business name
EVERETT PHYSICIANS, INC. P.S.
Authorized official
DR. GEORGE GO MD (BOARD PRESIDENT)
(425) 259-0966
Entity
Organization
Contact information
Practice address
4410 106TH ST SW, MUKILTEO, WA 98275-4700
(425) 493-6000
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 493-6000
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
50D0662651
WA
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33000
L&I
WA
05
—
7776503
—
WA
Enumeration date
01/11/2007
Last updated
04/09/2024
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