Organization
OPTUM CARE WASHINGTON PLLC
Active
Parent organization
EVERETT PHYSICIANS, INC. P.S.
Other names
Optum - Shoreline
Organization subpart
Yes
Provider details
NPI number
Legal business name
EVERETT PHYSICIANS, INC. P.S.
Authorized official
DR. GEORGE GO MD (BOARD PRESIDENT)
(425) 259-0966
Entity
Organization
Contact information
Practice address
1201 N 175TH ST, SHORELINE, WA 98133-5064
(425) 259-0966
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 258-3900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
291U00000X
Clinical Medical Laboratory
50D2116268
WA
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/23/2016
Last updated
04/11/2024
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