Organization
FRANCISCAN MEDICAL GROUP
Active
Parent organization
FRANCISCAN MEDICAL GROUP
Other names
Franciscan Ear, Nose & Throat Associates (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
4700 POINT FOSDICK DR NW, STE 320, GIG HARBOR, WA 98335-1706
(253) 627-6731
(253) 627-1064
Mailing address
4700 POINT FOSDICK DR NW, STE 320, GIG HARBOR, WA 98335-1706
(253) 627-6731
(253) 627-1064
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD00029182
WA
231H00000X
Audiologist
LD00001211
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0223168
STATE L&I
WA
05
—
7137920
—
WA
Enumeration date
05/15/2007
Last updated
08/01/2011
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