| Foothills Internal Medicine PLLC | |
|
2820 Griffin Ave Suite 204 Enumclaw WA 98022-2373 | |
| (360) 825-8900 | |
| Not Available |
| Full Name | Foothills Internal Medicine PLLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2820 Griffin Ave, Enumclaw, Washington |
| Authorized Official Name and Position | Jane Marie Houtz (OWNER) |
| Authorized Official Contact | 3608258900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foothills Internal Medicine PLLC 2820 Griffin Ave Suite 204 Enumclaw WA 98022-2373 Ph: (360) 825-8900 | Foothills Internal Medicine PLLC 2820 Griffin Ave Suite 204 Enumclaw WA 98022-2373 Ph: (360) 825-8900 |
| NPI Number | 1235443334 |
|---|---|
| Provider Enumeration Date | 07/30/2010 |
| Last Update Date | 07/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235443334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 603032697 (Washington) | Primary |
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