Prime Care Pllc

NPI #1578035200 in Bothell, Washington

Provider Information

NPI Number: 1578035200
Entity Type: Organization
Organization Name: Prime Care Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Dec 19, 2018
Last Updated: Feb 9, 2023

Practice Location

Address: 11812 N CREEK PKWY N STE 202
City: Bothell
State: Washington
ZIP Code: 98011-8202
Phone: (206) 538-6300

Authorized Official

Name: KEVIN MOON
Title: CONTRACTING COORDINATOR
Phone: (206) 538-6300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pain Medicine - Interventional Pain Medicine — Interventional Pain Medicine	208VP0014X
Nurse Practitioner	363L00000X
Nurse Practitioner - Family — Family	363LF0000X
Internal Medicine	207R00000X	Primary

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