Organization
OPTUM CARE WASHINGTON PLLC
Active
Parent organization
EVERETT PHYSICIANS, INC. P.S.
Other names
Lake Stevens
Organization subpart
Yes
Provider details
NPI number
Legal business name
EVERETT PHYSICIANS, INC. P.S.
Authorized official
DR. GEORGE GO MD (BOARD PRESIDENT)
(425) 259-0966
Entity
Organization
Contact information
Practice address
8910 VERNON ROAD, LAKE STEVENS, WA 98258
(425) 335-0966
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
Taxonomy
Speciality
Code
Description
License number
State
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
01/17/2007
Last updated
04/09/2024
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