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Organization

FRANCISCAN MEDICAL GROUP

Active
Other names
Franciscan Family Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
CLIFF ROBERTSON (CHIEF OPERATIONS OFFICER)
(253) 680-4015
Entity
Organization

Contact information

Practice address
1708 YAKIMA AVE, SUITE 60, TACOMA, WA 98405-5307
(253) 474-9038
(253) 474-3472
Mailing address
1708 YAKIMA AVE, SUITE 60, TACOMA, WA 98405-5307
(253) 474-9038
(253) 474-3472

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
106101525
OWCP
WA
01
8945600
CRIME VICTIMS
WA
Enumeration date
11/19/2008
Last updated
02/04/2009
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