| Optum - Summit View | |
|
11019 Canyon Rd E Ste A Puyallup WA 98373-3001 | |
| (253) 537-0293 | |
| (253) 537-7650 |
| Full Name | Optum - Summit View |
|---|---|
| Speciality | Family Medicine |
| Location | 11019 Canyon Rd E Ste A, Puyallup, Washington |
| Authorized Official Name and Position | George Go (BOARD PRESIDENT) |
| Authorized Official Contact | 4252583900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Optum - Summit View Po Box 5127 Everett WA 98206-5127 Ph: (253) 537-0293 | Optum - Summit View 11019 Canyon Rd E Ste A Puyallup WA 98373-3001 Ph: (253) 537-0293 |
| NPI Number | 1144837345 |
|---|---|
| Provider Enumeration Date | 09/30/2020 |
| Last Update Date | 04/08/2024 |
| Certification Date | 04/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144837345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 291U00000X | Clinical Medical Laboratory | () | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | () | Secondary |
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