NPI 1285895730

Everett Heritage Court

Organisation Exclusive Provider Organization Everett, WA

Practice location

Address: 4230 Colby Ave, Everett, WA 98203-2312
Phone: (425) 259-7200
Fax: (425) 339-9089

Authorised official

Name: Tom Brown
Title: President
Phone: (425) 259-7200

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 601 689 162 (WA)

Other Exclusive Provider Organization providers in Washington →

Registry record

NPI: 1285895730
Entity type: Organization
NPI issued: 18 Jun 2008
Record last updated: 18 Jun 2008

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.