Organization
EASTHILL MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EFREN CARATAO, JR. JR. MD (BUSINESS OWNER)
(253) 852-2770
Entity
Organization
Contact information
Practice address
10413 SE 244TH ST, KENT, WA 98030-4961
(253) 852-2770
Mailing address
10413 SE 244TH ST, KENT, WA 98030-4961
(253) 852-2770
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD 00028063
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208D00000X
—
WA
Enumeration date
08/29/2014
Last updated
11/03/2014
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