Organization
FRANCISCAN MEDICAL GROUP
Active
Parent organization
FRANCISCAN MEDICAL GROUP
Other names
University Place Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRANCISCAN MEDICAL GROUP
Authorized official
CLIFF A ROBERTSON MD (CHIEF MEDICAL OFFICER)
(253) 779-6101
Entity
Organization
Contact information
Practice address
7210 40TH ST W, STE 100, UNIVERSITY PLACE, WA 98466-4318
(253) 564-0170
Mailing address
7210 40TH ST W, STE 100, UNIVERSITY PLACE, WA 98466-4318
(253) 564-0170
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
2084P0800X
Psychiatry Physician
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0126534
STATE L&I
WA
05
—
7095151
—
WA
05
—
7129539
—
WA
Enumeration date
07/03/2006
Last updated
06/24/2009
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