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FAMILY MEDICINE CLINIC OF FEDERAL WAY NPI 1629113956


NPI Information

NPI: 1629113956
Provider Name: FAMILY MEDICINE CLINIC OF FEDERAL WAY
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
34618 11TH PL S. SUITE #100
FEDERAL WAY, WA
ZIP 98003
Phone: (866) 499-8990
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FAMILY MEDICINE CLINIC OF FEDERAL WAY is a family medicine in Federal Way, WA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FAMILY MEDICINE CLINIC OF FEDERAL WAY NPI is 1629113956. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

34618 11TH PL S. SUITE #100
FEDERAL WAY, WA
ZIP 98003
Phone: (866) 499-8990
Fax: (253) 838-4145

The provider's authorized official is Vuthy Leng .
The authorized official title is Owner and has the following contact phone number (253) 838-4140.

The enumeration date for this NPI number is 2/21/2007 and was last updated on 2/6/2019.


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
1174400000XSpecialistMD00044823WASHINGTONNo
2207Q00000XFamily Medicine00044823WASHINGTONYes

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
11122118MEDICAIDWASHINGTON

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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