Prime Care Pllc
NPI #1740768258 in Renton, Washington
Provider Information
- NPI Number
- 1740768258
- Entity Type
- Organization
- Organization Name
- Prime Care Pllc
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Aug 6, 2018
- Last Updated
- Feb 9, 2023
Practice Location
- Address
- 801 SW 16TH ST STE 121
- City
- Renton
- State
- Washington
- ZIP Code
- 98057
- Phone
- (206) 538-6300
Authorized Official
- Name
- KEVIN MOON
- Title
- CONTRACTING COORDINATOR
- Phone
- (206) 538-6300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
| Pain Medicine - Interventional Pain Medicine — Interventional Pain Medicine |
| Nurse Practitioner |
| Internal Medicine |
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