Organization
FRANCISCAN MEDICAL GROUP
Active
Parent organization
FRANCISCAN MEDICAL GROUP
Other names
Neurosurgery Northwest
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
1708 YAKIMA AVE, STE 105, TACOMA, WA 98405-5307
(253) 426-4420
(253) 426-4383
Mailing address
1708 YAKIMA AVE, STE 105, TACOMA, WA 98405-5307
(253) 426-4420
(253) 426-4383
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0187934
STATE L&I
WA
05
—
7124134
—
WA
Enumeration date
05/04/2006
Last updated
06/15/2010
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