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PHD2 OF SNOHOMISH COUNTY NPI 1013979624


NPI Information

NPI: 1013979624
Provider Name: PHD2 OF SNOHOMISH COUNTY

Doing Business As: STEVENS CENTER FOR INTERNAL MEDICINE

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
7320 216TH ST SW
SUITE 200
EDMONDS, WA
ZIP 98026
Phone: (425) 640-4901
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PHD2 OF SNOHOMISH COUNTY is an internal medicine in Edmonds, WA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PHD2 OF SNOHOMISH COUNTY NPI is 1013979624. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Stevens Center For Internal Medicine.

The provider's business location address is:

7320 216TH ST SW
SUITE 200
EDMONDS, WA
ZIP 98026-006
Phone: (425) 640-4901
Fax: (425) 640-4919

The provider's authorized official is Gary L. Wangsmo .
The authorized official title is Chief Financial Officer and has the following contact phone number (425) 640-4113.

The enumeration date for this NPI number is 4/6/2006 and was last updated on 12/10/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17059371MEDICAIDWASHINGTON
235870OTHERWASHINGTONLABOR AND INDUSTRIES
3CJ4104OTHERWASHINGTONMEDICARE RAILROAD GROUP
4CG1766OTHERWASHINGTONMEDICARE RAILROAD GROUP
5DB5880OTHERWASHINGTONMEDICARE RAILROAD GROUP
6DE0413OTHERWASHINGTONMEDICARE RAILROAD GROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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