Organization
FRANCISCAN MEDICAL GROUP
Active
Parent organization
FRANCISCAN MEDICAL GROUP
Other names
Pacific NW Maternal Fetal Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRANCISCAN MEDICAL GROUP
Authorized official
DR. CLIFF A ROBERTSON MD (CHIEF MEDICAL OFFICER)
(253) 779-6101
Entity
Organization
Contact information
Practice address
1708 YAKIMA AVE, STE 202, TACOMA, WA 98405-5307
(253) 426-6878
(253) 426-4254
Mailing address
1708 YAKIMA AVE, STE 202, TACOMA, WA 98405-5307
(253) 426-6878
(253) 426-4254
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
MD00023541
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0177600
STATE L&I
WA
05
—
7117997
—
WA
01
—
8933554
STATE CRIME VICTIMS
WA
Enumeration date
06/02/2006
Last updated
06/20/2008
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