THE CHARIS CLINIC PLLC NPI 1194069187

NPI Information

  • NPI: 1194069187
  • Provider Name: THE CHARIS CLINIC PLLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: CHARIS FAMILY CLINIC
  • Address: 23601 HIGHWAY 99 STE A
    EDMONDS, WA
    ZIP 98026
  • Phone: (206) 714-4476

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NPI Details

THE CHARIS CLINIC PLLC is a primary care clinic center in Edmonds, WA. THE CHARIS CLINIC PLLC NPI is 1194069187. The provider is registered as an organization entity type.
The provider Is Doing Business As Charis Family Clinic.

The provider's business location address is:

23601 HIGHWAY 99 STE A
EDMONDS, WA
ZIP 98026-212
Phone: (206) 714-4476
Fax: (425) 732-4476

The provider's authorized official is Deonne Jeanette Benedict .
The authorized official title is Managing Member, Llc and has the following contact phone number (206) 714-4476.

The enumeration date for this NPI number is 11/15/2012 and was last updated on 11/16/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary Care602904773WASHINGTONYes

What is NPI?

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This page was last updated on: 11/21/2025

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