Organization
OPTUM CARE WASHINGTON PLLC
Active
Parent organization
EVERETT PHYSICIANS, INC. P.S.
Other names
Optum - Pavilion for Women and Children
Organization subpart
Yes
Provider details
NPI number
Legal business name
EVERETT PHYSICIANS, INC. P.S.
Authorized official
GEORGE GO MD (BOARD PRESIDENT)
(425) 259-0966
Entity
Organization
Contact information
Practice address
900 PACIFIC AVE, EVERETT, WA 98201-4168
(425) 339-5430
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
291U00000X
Clinical Medical Laboratory
50D0998446
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
02/13/2007
Last updated
04/09/2024
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