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Providence Physician Group
Durable Medical Equipment & Medical Supplies in Monroe, Washington
NPI 1518040484

Providence Physician Group is a Durable Medical Equipment & Medical Supplies based in Everett, WA. Providence Physician Group practices in Monroe, WA. The NPI Number for Providence Physician Group is 1518040484 and holds a License No. (Washington).

The current practice location address for Providence Physician Group is 14692 179Th Ave Se, Monroe, WA and can be reached out via phone at 360-794-7994 and via fax at 360-805-4755.

Location: 14692 179Th Ave Se, Monroe, WA, 98201-1409
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518040484
Provider Name
Providence Physician Group
Credential
Provider Entity Type
Organization
Address
14692 179Th Ave Se, Monroe, WA, 98201-1409
Phone Number
360-794-7994
Fax Number
360-805-4755
Provider Enumeration Date
10/23/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7096183 05 WA
institution
Provider Business Practice Location Address Details
Address
14692 179Th Ave Se
City
Monroe
State
Washington
Zip
98272-1198
Phone Number
360-794-7994
Fax Number
360-805-4755
person
Provider Business Mailing Address Details
Address
14692 179Th Ave Se
City
Monroe
State
Washington
Zip
98272-1198
Phone Number
360-794-7994
Fax Number
360-805-4755
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Bone Densitometry
Taxonomy
2471B0102X
License No.
()
Definition
Definition to come.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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