Organization
PUGET SOUND KIDNEY CENTERS
Active
Other names
Puget Sound Kidney Center Richmond Beach
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LOU LONDERVILLE (BILLING & CONTRACTING MANAGER)
(425) 259-1884
Entity
Organization
Contact information
Practice address
357 NW RICHMOND BEACH RD, SHORELINE, WA 98177-3101
(425) 259-5195
Mailing address
1019 PACIFIC AVE, EVERETT, WA 98201-4148
(425) 259-5195
(425) 258-9610
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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