Healthcare Provider Details

I. General information

NPI: 1992669717
Provider Name (Legal Business Name): C-MORE HEALTH CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12822 SE 32ND ST STE 216
BELLEVUE WA
98005-4340
US

IV. Provider business mailing address

PO BOX 2095
EVERETT WA
98213-0095
US

V. Phone/Fax

Practice location:
  • Phone: 425-429-7517
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name: DALE ROBERTSON
Title or Position: OWNER
Credential:
Phone: 425-429-7517