| Fqhc Enhancement | |
|
5929 Evergreen Way Everett WA 98203-6031 | |
| (425) 789-3700 | |
| (425) 789-3754 |
| Full Name | Fqhc Enhancement |
|---|---|
| Speciality | Family Medicine |
| Location | 5929 Evergreen Way, Everett, Washington |
| Authorized Official Name and Position | Kenneth M Green (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4257893700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fqhc Enhancement Po Box 13060 Everett WA 98206-3060 Ph: (425) 789-3700 | Fqhc Enhancement 5929 Evergreen Way Everett WA 98203-6031 Ph: (425) 789-3700 |
| NPI Number | 1073720108 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 06/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073720108 | NPI | - | NPPES |
| 7590227 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 7034036 (Washington) | Primary |
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