Organization
PACIFIC NORTHWEST CARDIOLOGY INC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE GADBOIS (OPERATIONS MANAGER)
(360) 336-9757
Entity
Organization
Contact information
Practice address
307 S 13TH AVENUE, MOUNT VERNON, WA 98274
(360) 336-9757
(360) 336-1609
Mailing address
307 S 13TH AVENUE, MOUNT VERNON, WA 98274
(360) 336-9757
(360) 336-1609
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7010960
—
WA
Enumeration date
06/17/2006
Last updated
01/30/2008
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