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Physicians Obstetrics & Gynecology Gynecologic Oncology

Provider NPI: 1750520516

Organization Information:
Organization is not Subpart
Authorized Official:  PAULA  WOOD  PROVIDER CONCIERGE  866-399-2983

Practice Location:
1717 13TH STREET SUITE 300 EVERETT, WA 98201-1621 US
Tel: 425-297-5660  Fax: 425-297-5505

Business Mailing Address:
PO BOX 3360  PORTLAND, OR 97208-3360 US
Tel: 866-399-2983  Fax: --

NPI Information:
NPI: 1750520516
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Obstetrics & Gynecology
Gynecologic Oncology

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 207VX0201X





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