Organization
PRIMARY CARE CENTER, LLC.
Active
Organization
PRIMARY CARE CENTER, LLC.
Active
Other names
Primary Care Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JANE H COX CREDENTIALING (COX CREDENTIALING)
(949) 664-2796
Entity
Organization
Contact information
Practice address
9030 35TH AVE SW, SEATTLE, WA 98126-3821
(413) 386-0055
Mailing address
6214 BROADWAY, EVERETT, WA 98203-4839
(413) 386-0055
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
364SA2200X
Adult Health Clinical Nurse Specialist
—
—
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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