Organization
EVERSIDE HEALTH, LLC
Active
Parent organization
DAVITA DPC, HOLDING, INC
Other names
Paladina Health Federal Way
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAVITA DPC, HOLDING, INC
Authorized official
JILL JOHNSON PATTON (DIRECTOR OF RISK MANAGEMENT)
(704) 936-5546
Entity
Organization
Contact information
Practice address
32275 32ND AVE S, FEDERAL WAY, WA 98001-9616
(253) 292-9970
Mailing address
4651 CHARLOTTE PARK DR STE 300, CHARLOTTE, NC 28217-1916
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/27/2015
Last updated
08/11/2022
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