Healthcare Provider Details

I. General information

NPI: 1457336315
Provider Name (Legal Business Name): FRANCIS PETER ENGH RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 12/13/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14130 JUANITA DR NE
BOTHELL WA
98011-4927
US

IV. Provider business mailing address

1508 123RD AVE SE
BELLEVUE WA
98005-3848
US

V. Phone/Fax

Practice location:
  • Phone: 425-821-6275
  • Fax:
Mailing address:
  • Phone: 425-373-1211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH00010518
License Number StateWA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: