Organization
EDMONDS FAMILY MEDICINE CLINIC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARCY SHIMADA (CEO)
(425) 670-3555
Entity
Organization
Contact information
Practice address
7315 212TH ST SW, SUITE 101, EDMONDS, WA 98026-7610
(425) 775-9474
(425) 670-3554
Mailing address
7315 212TH ST SW, SUITE 101, EDMONDS, WA 98026-7610
(425) 775-9474
(425) 670-3554
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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