NPI 1104523109
United Backcare Ps
Practice location
- Address
- 821 E Broadway Ave STE 11, Moses Lake, WA 98837-5934
- Phone
- (425) 513-8509
- Fax
- (425) 290-9774
- Mailing address
- 9617 7th Ave SE, Everett, WA 98208-3710
Authorised official
- Name
- Mary E Spores
- Title
- Owner
- Phone
- (425) 513-8509
Registered specialties
Multi-Specialty Clinic/Center
Primary
Registry record
- NPI
- 1104523109
- Entity type
- Organization
- NPI issued
- 9 Feb 2023
- Record last updated
- 29 Mar 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.