| Dr. Ruth Freeman | |
|
1908 201st Pl Se Ste 100 Bothell WA 98012 | |
| (425) 219-4720 | |
| (425) 949-7059 |
| Full Name | Dr. Ruth Freeman |
|---|---|
| Speciality | Internal Medicine |
| Location | 1908 201st Pl Se Ste 100, Bothell, Washington |
| Authorized Official Name and Position | Sara Elizabeth Pedersen (DIRECTOR, CLINICAL SERVICES) |
| Authorized Official Contact | 4252194720 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Ruth Freeman 1908 201st Pl Se Ste 100 Bothell WA 98012-8572 Ph: (425) 219-4720 | Dr. Ruth Freeman 1908 201st Pl Se Ste 100 Bothell WA 98012 Ph: (425) 219-4720 |
| NPI Number | 1801394341 |
|---|---|
| Provider Enumeration Date | 01/30/2018 |
| Last Update Date | 03/15/2019 |
| Medicare PECOS PAC ID | 4486918588 |
|---|---|
| Medicare Enrollment ID | O20180425001740 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801394341 | NPI | - | NPPES |
| 8234890 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ruth A Freeman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073502829 PECOS PAC ID: 9436342300 Enrollment ID: I20101023000166 |
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