Molina Healthcare of Washington, INC
NPI #1891000725 in Everett, Washington
Provider Information
- NPI Number
- 1891000725
- Entity Type
- Organization
- Organization Name
- Molina Healthcare of Washington, INC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 16, 2010
- Last Updated
- Sep 27, 2011
Practice Location
- Address
- 15 SW EVERETT MALL WAY
- Address 2
- SUITE A
- City
- Everett
- State
- Washington
- ZIP Code
- 98208-2777
- Phone
- (562) 499-6191
Authorized Official
- Name
- GLORIA CALDERON
- Title
- VP, CLINIC OPERATIONS
- Phone
- (562) 499-6191
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
| Internal Medicine |
| Family Medicine |
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