Orchard Medical Clinic

NPI 1255603874 - Clinic/Center - 261QM2500X

NPI Details
NPI 1255603874
Enumeration Date 01/27/2012
Last Updated 02/16/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name GLENN A GLENN
Position OWNER
Phone (253) 474-7100
Fax (253) 474-2677
Practice Location
5320 ORCHARD ST W
UNIVERSITY PLACE WA, 98467-3633, US
Phone (253) 474-7100
Fax (253) 474-2677
Business Location
7501 92ND AVENUE CT SW
LAKEWOOD WA, 98498-3973, US
Phone (253) 588-0058
Fax (253) 589-4862
Toxanomy
Taxonomy Code 261QM2500X
License State Washington
License Number MD000380965
Remove 1255603874 NPI Number
 

According to our database, Orchard Medical Clinic NPI is 1255603874, taxonomy code is 261QM2500X and license number is MD000380965, license state is located at Washington. Orchard Medical Clinic physically located at 5320 Orchard St W, University Place WA, 98467-3633. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1255603874 NPI number is provided on an as is basis without warranty of any kind. 1255603874 is maintained by the National Plan & Provider Enumeration System. The contents of Orchard Medical Clinic are for informational purposes only.