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Organization

FRANCISCAN HEALTH SYSTEM

Active
Other names
St Clare Anticoagulation Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
MIKE FITZGERALD (CFO)
(253) 680-4005
Entity
Organization

Contact information

Practice address
11311 BRIDGEPORT WAY SW, SUITE 300, LAKEWOOD, WA 98499
(253) 985-6790
(253) 985-6705
Mailing address
11311 BRIDGEPORT WAY SW, SUITE 300, LAKEWOOD, WA 98499-3071
(253) 985-6790
(253) 985-6705

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Other

Enumeration date
01/26/2012
Last updated
08/23/2018
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