Organization
FRANCISCAN MEDICAL GROUP
Active
Parent organization
FRANCISCAN MEDICAL GROUP
Other names
Auburn/Federal Way Surgeons-Federal Way
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRANCISCAN MEDICAL GROUP
Authorized official
CLIFF ROBERTSON (CHIEF MEDICAL OFFICER)
(253) 779-6101
Entity
Organization
Contact information
Practice address
34509 9TH AVE S, SUITE 204, FEDERAL WAY, WA 98003-6700
(253) 927-1800
(253) 952-3025
Mailing address
34509 9TH AVE S, SUITE 204, FEDERAL WAY, WA 98003-6700
(253) 927-1800
(253) 952-3025
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0201155
STATE L&I
WA
05
—
7129448
—
WA
Enumeration date
07/30/2006
Last updated
06/15/2010
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