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Specialty details in registry · Edmonds, WA

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At a glance

407 Howell Way, Edmonds, WA 98020-4186

NPPES record updated Mar 12, 2014. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

407 Howell Way
Edmonds, WA 98020-4186
Professional details: NPI, taxonomy & registry record
NPI1033535208
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
253Z00000X
Enumeration date
Mar 12, 2014
Record updated
Mar 12, 2014
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

251B00000X

Specialty details in registry

251C00000X

Specialty details in registry

251T00000X

Specialty details in registry

251X00000X

Specialty details in registry

252Y00000X

Specialty details in registry

253Z00000X · Primary

License reported: IHS.FS.60304414 WA

Specialty details in registry

385HR2055X

Specialty details in registry

385HR2060X

Specialty details in registry

385HR2065X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

407 Howell Way
Edmonds, WA 98020-4186
Phone
(425) 672-8787
Fax
(245) 670-1640
Mailing address
PO BOX 1237

EDMONDS, WA 980201237
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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