Organization
633
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY CARRILLO (RN)
(425) 868-1178
Entity
Organization
Contact information
Practice address
7244 237TH AVE NE, REDMOND, WA 98053-7914
(426) 868-1178
Mailing address
7244 237TH AVE NE, REDMOND, WA 98053-7914
(426) 868-1178
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
RN 0007 3053
WA
Other
Enumeration date
02/04/2009
Last updated
02/04/2009
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