| Sophia Health Institute | |
|
18106 140th Ave Ne Woodinville WA 98072-4312 | |
| (425) 402-4401 | |
| (425) 402-4389 |
| Full Name | Sophia Health Institute |
|---|---|
| Speciality | Family Medicine |
| Location | 18106 140th Ave Ne, Woodinville, Washington |
| Authorized Official Name and Position | Dietrich Klinghardt (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4254024401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sophia Health Institute 18106 140th Ave Ne Woodinville WA 98072-4312 Ph: (425) 402-4401 | Sophia Health Institute 18106 140th Ave Ne Woodinville WA 98072-4312 Ph: (425) 402-4401 |
| NPI Number | 1427575000 |
|---|---|
| Provider Enumeration Date | 08/24/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427575000 | NPI | - | NPPES |
| MD00022065 | Other | WA | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD00022065 (Washington) | Primary |
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