Organization
FRANCISCAN MEDICAL GROUP
Active
Parent organization
FRANCISCAN MEDICAL GROUP
Other names
ROAD Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRANCISCAN MEDICAL GROUP
Authorized official
CLIFF ROBERTSON MD (CHIEF MEDICAL OFFICER)
(253) 779-6101
Entity
Organization
Contact information
Practice address
11311 BRIDGEPORT WAY SW, STE 214, LAKEWOOD, WA 98499-3071
(253) 581-1091
(253) 581-1191
Mailing address
11311 BRIDGEPORT WAY SW, STE 214, LAKEWOOD, WA 98499-3071
(253) 581-1091
(253) 581-1191
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7133242
—
WA
Enumeration date
05/03/2006
Last updated
02/20/2008
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