| Richmond Internal Medicine, P.s. | |
|
355 Nw Richmond Beach Rd Shoreline WA 98177-3101 | |
| (206) 546-5181 | |
| (206) 546-6575 |
| Full Name | Richmond Internal Medicine, P.s. |
|---|---|
| Speciality | Internal Medicine |
| Location | 355 Nw Richmond Beach Rd, Shoreline, Washington |
| Authorized Official Name and Position | David B Jackson (PRESIDENT) |
| Authorized Official Contact | 2065465181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richmond Internal Medicine, P.s. 355 Nw Richmond Beach Rd Shoreline WA 98177-3101 Ph: (206) 546-5181 | Richmond Internal Medicine, P.s. 355 Nw Richmond Beach Rd Shoreline WA 98177-3101 Ph: (206) 546-5181 |
| NPI Number | 1932159407 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 11/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932159407 | NPI | - | NPPES |
| 7073752 | Medicaid | WA | |
| DE7285 | Other | WA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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