| Dr. Jaclyn Phan & Associates | |
|
1912 201st Pl Se Suite 204 Bothell WA 98012-8570 | |
| (425) 485-6812 | |
| (425) 485-6813 |
| Full Name | Dr. Jaclyn Phan & Associates |
|---|---|
| Speciality | Clinic/center |
| Location | 1912 201st Pl Se, Bothell, Washington |
| Authorized Official Name and Position | Jaclyn T Phan (PRESIDENT) |
| Authorized Official Contact | 4254856812 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Jaclyn Phan & Associates 1912 201st Pl Se Suite 204 Bothell WA 98012-8570 Ph: (425) 485-6812 | Dr. Jaclyn Phan & Associates 1912 201st Pl Se Suite 204 Bothell WA 98012-8570 Ph: (425) 485-6812 |
| NPI Number | 1437330123 |
|---|---|
| Provider Enumeration Date | 11/21/2007 |
| Last Update Date | 11/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437330123 | NPI | - | NPPES |
| 2033652 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 3357 (Washington) | Primary |
King County Public Hospital District No 2 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10131 Main St, Bothell, WA 98011 Phone: 425-485-3955 Fax: 425-485-1476 | |
Murray A Beighton Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 707 228th St Sw, Bothell, WA 98021 Phone: 425-742-7953 Fax: 425-742-3683 | |
Locknane Athletic Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18518 Bothell Way Ne Ste C, Bothell, WA 98011 Phone: 425-368-4242 Fax: 425-368-4243 | |
Western Washington Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1909 214th St Se, Suite 211, Bothell, WA 98021 Phone: 425-420-1655 | |
Kaiser Foundation Health Plan Of Washington Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11913 Ne 195th St, Bothell, WA 98011 Phone: 425-489-3100 Fax: 425-489-3183 | |
Maksportsmd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 19110 Bothell Way Ne Ste 102, Bothell, WA 98011 Phone: 425-286-8271 Fax: 425-491-7271 |