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Organization

FAMILY WELLNESS CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CYNDI WILLIAMS (CREDENTIALING COORDINATOR)
(360) 567-0322
Entity
Organization

Contact information

Practice address
1000 SE TECH CENTER DR STE 120, VANCOUVER, WA 98683-5548
(360) 260-2773
Mailing address
1000 SE TECH CENTER DR STE 120, VANCOUVER, WA 98683-5548
(360) 260-2773

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1629110945
NPI #
WA
05
7067986
WA
Enumeration date
12/19/2013
Last updated
12/19/2013
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