Organization
PUBLIC HOSPITAL DIST NO 1 SKAGIT
Active
Organization
PUBLIC HOSPITAL DIST NO 1 SKAGIT
Active
Other names
Skagit Regional Health Arlington Orthopedics and Sports Medicine, Skagit Regional Health
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL ISHIZUKA (CHIEF FINANCIAL OFFICER)
(360) 814-5838
Entity
Organization
Contact information
Practice address
328 S. STILLAGUAMISH AVE., ARLINGTON, WA 98223-1660
(360) 435-6641
(360) 618-7663
Mailing address
1400 E. KINCAID STREET, ATTN: CREDENTIALING, MOUNT VERNON, WA 98274-4127
(360) 814-6724
(360) 428-6485
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
HAC.FS.00000106
WA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2058830
—
WA
Enumeration date
06/06/2006
Last updated
12/10/2018
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