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NPI Code Detail

MEDICARE: PUBLIC HOSPITAL DISTRICT #3 SNOHOMISH COUNTY

MEDICARE: PUBLIC HOSPITAL DISTRICT #3 SNOHOMISH COUNTY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1467556910
Entity Type Code : Organization
Provider Name (Legal Business Name) : PUBLIC HOSPITAL DISTRICT #3 SNOHOMISH COUNTY
Provider Business Mailing Address
First Line : 875 WESLEY ST STE 240
Second Line :
City : ARLINGTON
State : WA
Zip : 98223-1668
Country : US
Telephone Number : 360-435-7374
Fax Number : 360-435-9165
Provider Business Practice Location Address
First Line : 875 WESLEY ST STE 240
Second Line :
City : ARLINGTON
State : WA
Zip : 98223-1668
Country : US
Telephone Number : 360-435-7374
Fax Number : 360-435-9165
Authorized Official
Title or Position : ADMINISTRATOR
Name : WILLIS CLARK JONES
Credential :
Telephone Number : 360-435-2133
Provider Enumeration Date : 09/12/2006
Last Update Date : 10/24/2007

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Directions to “PUBLIC HOSPITAL DISTRICT #3 SNOHOMISH COUNTY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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