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Organization

PUBLIC HOSPITAL DISTRICT 2 OF SNOHOMISH COUNTY

Active
Parent organization
PHD2 OF SNOHOMISH COUNTY
Other names
BIRTH & FAMILY CLINIC
Organization subpart
Yes

Provider details

NPI number
Legal business name
PHD2 OF SNOHOMISH COUNTY
Authorized official
KATHERINE GARTON (CLINIC MANAGER)
(425) 640-4951
Entity
Organization

Contact information

Practice address
21911 76TH AVE W, SUITE 110, EDMONDS, WA 98026-7903
(425) 640-4950
(425) 640-4958
Mailing address
21911 76TH AVE W, SUITE 110, EDMONDS, WA 98026-7903
(425) 640-4950
(425) 640-4958

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
312 003 974
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51069
L & I
WA
05
7060742
WA
01
C46531
MEDICARE RAILROAD
WA
Enumeration date
01/18/2007
Last updated
03/18/2010
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