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General NPI Number Information
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NPI Number | 1285542415
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Entity Type | Organization
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Legal Business Name | WILLOW FAMILY MEDICINE PLLC
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Dates
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Enumeration Date | 08/29/2026
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Last Update Date | 08/29/2026
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Provider Practice Location Address
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Address Line | 1111 PACIFIC AVE STE B
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City | EVERETT
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State | WA
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Zip | 98201-4200
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Country | US
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Telephone | 425-472-2579
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Fax | 425-944-5270
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Provider Business Mailing Address
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Address Line | PO BOX 289
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City | LAKE STEVENS
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State | WA
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Zip | 98258-0289
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Country | US
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Telephone | 425-472-2579
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Fax | 425-944-5270
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. NORAH NGUYEN
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Credential | MD
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Telephone | 808-234-9309
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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