Canyon Creek Clinic, Pllc
NPI #1447451216 in Bothell, Washington
Provider Information
- NPI Number
- 1447451216
- Entity Type
- Organization
- Organization Name
- Canyon Creek Clinic, Pllc
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- May 30, 2007
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 19125 N CREEK PKWY
- Address 2
- SUITE 204
- City
- Bothell
- State
- Washington
- ZIP Code
- 98011-8035
- Phone
- (425) 424-2201
Authorized Official
- Name
- MS. CATHY G KNOTH
- Title
- OFFICE MANAGER
- Phone
- (425) 424-2201
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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