Organization
FRANCISCAN MEDICAL GROUP
Active
Parent organization
FRANCISCAN MEDICAL GROUP
Other names
Harbor Orthopedic Clinic
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
11511 CANTERWOOD BLVD NW, STE 205, GIG HARBOR, WA 98332-5813
(253) 530-2663
(253) 530-2675
Mailing address
11511 CANTERWOOD BLVD NW, STE 205, GIG HARBOR, WA 98332-5813
(253) 530-2663
(253) 530-2675
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0201042
STATE L&I
WA
01
—
193293917
OWCP
WA
05
—
7129711
—
WA
01
—
8906804
CRIME VICTIMS
WA
Enumeration date
06/02/2006
Last updated
06/14/2010
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