PREMISE HEALTH OF OHIO MEDICAL P.A NPI 1366884504

NPI Information

PREMISE HEALTH OF OHIO MEDICAL, P.A is an occupational medicine clinic center in Everett, WA. PREMISE HEALTH OF OHIO MEDICAL, P.A NPI is 1366884504. The provider is registered as an organization entity type.
The provider Is Doing Business As Everett Occupational Health Center.

The provider's business location address is:

1200 MERRILL CREEK PKWY
EVERETT, WA
ZIP 98203-152
Phone: (425) 407-6431
Fax: (425) 407-6566

The provider's authorized official is Jon Leizman .
The authorized official title is President and has the following contact phone number (216) 479-9063.

The enumeration date for this NPI number is 7/29/2013 and was last updated on 8/16/2022.

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:

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