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Encopresis Treatment Center
Health Service Clinic/Center in Edmonds, Washington
NPI 1306111562

Encopresis Treatment Center is a Health Service Clinic/Center based in Shoreline, WA and is specialized in Health Service. Encopresis Treatment Center practices in Edmonds, WA. The NPI Number for Encopresis Treatment Center is 1306111562 and holds a License No. 602025306 (Washington).

The current practice location address for Encopresis Treatment Center is 611 Main St, Edmonds, WA and can be reached out via phone at 425-640-3227 and via fax at 425-640-3478.

Location: 611 Main St, Edmonds, WA, 98133
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306111562
Provider Name
Encopresis Treatment Center
Credential
Provider Entity Type
Organization
Address
611 Main St, Edmonds, WA, 98133
Phone Number
425-640-3227
Fax Number
425-640-3478
Provider Enumeration Date
03/20/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
611 Main St
City
Edmonds
State
Washington
Zip
98020-3096
Phone Number
425-640-3227
Fax Number
425-640-3478
person
Provider Business Mailing Address Details
Address
611 Main St
City
Edmonds
State
Washington
Zip
98020-3096
Phone Number
425-640-3227
Fax Number
425-640-3478
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
602025306 (Washington)
Definition
Definition to come...
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