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Organization

FRANCISCAN MEDICAL GROUP

Active
Parent organization
FRANCISCAN MEDICAL GROUP
Other names
Rainier Urology
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
11307 BRIDGEPORT WAY SW, STE 217, LAKEWOOD, WA 98499-3024
(253) 985-6134
Mailing address
11307 BRIDGEPORT WAY SW, STE 217, LAKEWOOD, WA 98499-3024
(253) 985-6134

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0210072
STATE L&I
WA
05
7131204
WA
Enumeration date
07/06/2006
Last updated
06/15/2010
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