Healthcare Provider Details

I. General information

NPI: 1407167513
Provider Name (Legal Business Name): PUBLIC HOSPITAL DISTRICT 2 OF SNOHOMISH COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2010
Last Update Date: 07/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21601 76TH AVE W
EDMONDS WA
98026-7507
US

IV. Provider business mailing address

PO BOX 91000
EDMONDS WA
98026-2100
US

V. Phone/Fax

Practice location:
  • Phone: 425-640-4000
  • Fax: 425-640-4455
Mailing address:
  • Phone: 425-673-3374
  • Fax: 425-640-4455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JULIE DABLOW
Title or Position: MANAGER
Credential:
Phone: 425-673-3374