| Providence Regional Medical Center | |
|
1330 Rockefeller Ave Suite 150 Medical Offfic Building Everett WA 98201-1684 | |
| (425) 297-5220 | |
| Not Available |
| Full Name | Providence Regional Medical Center |
|---|---|
| Speciality | Clinic/center |
| Location | 1330 Rockefeller Ave, Everett, Washington |
| Authorized Official Name and Position | Debbie Corina Torres (PHARM.D) |
| Authorized Official Contact | 2137001439 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Regional Medical Center 12000 15th Ave Ne Apt 409 Seattle WA 98125-5090 Ph: (213) 700-1439 | Providence Regional Medical Center 1330 Rockefeller Ave Suite 150 Medical Offfic Building Everett WA 98201-1684 Ph: (425) 297-5220 |
| NPI Number | 1326598715 |
|---|---|
| Provider Enumeration Date | 10/10/2016 |
| Last Update Date | 10/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326598715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | PH60665183 (Washington) | Primary |
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