Organization
OPTUM CARE WASHINGTON PLLC
Active
Organization
OPTUM CARE WASHINGTON PLLC
Active
Parent organization
EVERETT PHYSICIANS, INC. P.S.
Other names
The Everett Clinic, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EVERETT PHYSICIANS, INC. P.S.
Authorized official
GEORGE GO M.D. (BOARD PRESIDENT)
(425) 258-3900
Entity
Organization
Contact information
Practice address
3901 HOYT AVE, EVERETT, WA 98201-4918
(425) 259-0966
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 259-0966
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
291U00000X
Clinical Medical Laboratory
50D0662654
WA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
10/05/2005
Last updated
04/08/2024
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