Organization
FRANCISCAN MEDICAL GROUP
Active
Other names
FMG-Pathways Family Health
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFF ROBERTSON (CHIEF MEDICAL OFFICER)
(253) 779-6101
Entity
Organization
Contact information
Practice address
11511 CANTERWOOD BLVD NW, SUITE 100, GIG HARBOR, WA 98332
(253) 530-2610
(253) 530-2619
Mailing address
11511 CANTERWOOD BLVD NW, SUITE 100, GIG HARBOR, WA 98332
(253) 530-2610
(253) 530-2619
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00039111
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8945600
CRIME VICTIMS
WA
Enumeration date
11/11/2008
Last updated
02/04/2009
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