Organization
FRANCISCAN MEDICAL GROUP
Active
Parent organization
FRANCISCAN MEDICAL GROUP
Other names
Franciscan Medical Clinic-Pt. Fosdick
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRANCISCAN MEDICAL GROUP
Authorized official
CLIFF ROBERTSON MD (CMO)
(253) 779-6101
Entity
Organization
Contact information
Practice address
4700 POINT FOSDICK DR NW, STE 202, GIG HARBOR, WA 98335-1706
(253) 857-1450
(253) 857-1489
Mailing address
4700 POINT FOSDICK DR NW, STE 202, GIG HARBOR, WA 98335-1706
(253) 857-1450
(253) 857-1489
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP00001673
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0223265
STATE L&I
WA
05
—
7138506
—
WA
Enumeration date
05/25/2007
Last updated
07/02/2012
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