Organization
PUBLIC HOSPITAL DIST NO 1 SKAGIT
Active
Other names
Skagit Regional Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
JANIS BACKSTROM CPMSM (CREDENTIALING COORDINATOR)
(360) 814-6724
Entity
Organization
Contact information
Practice address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
(360) 428-2500
Mailing address
1990 HOSPITAL DR, SUITE 200, SEDRO WOOLLEY, WA 98284-9315
(360) 856-4222
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00046139
WA
Other
Enumeration date
07/03/2006
Last updated
11/19/2010
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