Organization
FRANCISCAN MEDICAL GROUP
Active
Parent organization
FRANCISCAN MEDICAL GROUP
Other names
Franciscan Medical Clinic-Federal Way
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRANCISCAN MEDICAL GROUP
Authorized official
CLIFF ROBERTSON MD (CHIEF MEDICAL OFFICER)
(253) 779-6101
Entity
Organization
Contact information
Practice address
30809 1ST AVE S, FEDERAL WAY, WA 98003-4074
(253) 839-2030
(253) 839-1091
Mailing address
30809 1ST AVE S, FEDERAL WAY, WA 98003-4074
(253) 839-2030
(253) 839-1091
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
247100000X
Radiologic Technologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0199167
STATE L&I
WA
05
—
7128630
—
WA
Enumeration date
07/11/2006
Last updated
07/02/2012
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