Organization · Type 2 NPI

Kaiser Foundation Health Plan of Washington

Multi-Specialty Clinic/Center · Marysville, WA

NPI number 1104599232 Active

Practice location

2335 172nd St NE
Marysville, WA 98271-4753

Call (360) 651-1550 Map

Fax (360) 651-1560

Mailing address

PO Box 34584
Seattle, WA 98124-1584

Specialties and licenses

Taxonomy	Code	License
Multi-Specialty Clinic/Center Primary	261QM1300X	None listed

Multi-Specialty Clinic/Center: Definition to come...

8 other providers at this address

NPI record

NPI: 1104599232
Entity type: Organization (Type 2)
Issued: Jul 26, 2021
Last updated: Jul 26, 2021
Status: Active
Subpart: Yes of Kaiser Foundation Health Plan of Washington

Other names

Smokey Point Medical Center · doing business as

Authorized official

Michelle M Barlow
Manager
(509) 241-7343

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104599232

Kaiser Foundation Health Plan of Washington's National Provider Identifier is 1104599232, issued on Jul 26, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Marysville, WA. The record was last updated on Jul 26, 2021.