NPI 1386199867

Dr. Mark McDaniels

Organisation Exclusive Provider Organization Renton, WA

Practice location

Address: 350 S 38th CT Suite 225, Renton, WA 98055-5777
Phone: (425) 271-1515
Fax: (425) 228-4146

Authorised official

Name: Sonya Luedeene Yamamoto
Title: Front Office
Phone: (425) 271-1515

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence DE00006052 (WA)

Other Exclusive Provider Organization providers in Washington →

Registry record

NPI: 1386199867
Entity type: Organization
NPI issued: 24 Aug 2016
Record last updated: 24 Aug 2016

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.