Healthcare Provider Details

I. General information

NPI: 1144261397
Provider Name (Legal Business Name): MICHAEL J FRANCESCHINA D.O
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 06/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34612 6TH AVE S STE 300
FEDERAL WAY WA
98003-8723
US

IV. Provider business mailing address

34612 6TH AVE S STE 300
FEDERAL WAY WA
98003-8723
US

V. Phone/Fax

Practice location:
  • Phone: 253-838-8552
  • Fax: 253-874-6089
Mailing address:
  • Phone: 253-838-8552
  • Fax: 253-874-6089

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code204C00000X
TaxonomySports Medicine (Neuromusculoskeletal Medicine) Physician
License Number025207OP00001603
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberOP00001603
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: