Organization
MPS CLINICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN L BOULANGER PHARM (DIRECTOR)
(425) 673-5200
Entity
Organization
Contact information
Practice address
22316 70TH AVE W STE 5, MOUNTLAKE TERRACE, WA 98043-2184
(425) 673-5200
(425) 673-5230
Mailing address
PO BOX 3196, LYNNWOOD, WA 98046-3196
(425) 673-5200
(425) 673-5230
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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