Organization
EDMONDS HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLA YEPRAKSIA BOSTANJIAN MD (OWNER)
(425) 697-2100
Entity
Organization
Contact information
Practice address
617 5TH AVE S, EDMONDS, WA 98020-3452
(425) 697-2100
(425) 697-5556
Mailing address
617 5TH AVE S, EDMONDS, WA 98020-3452
(425) 697-2100
(425) 697-5556
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60039274
WA
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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