BONNEY LAKE MEDICAL CENTER is a specialist in Bonney Lake, WA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. BONNEY LAKE MEDICAL CENTER NPI is 1700056587. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
20631 HWY 410 E.
STE 303
BONNEY LAKE, WA
ZIP 98390-390
Phone: (253) 891-2160
Fax: (253) 891-2171
The provider's authorized official is Mythili R Arigala .
The authorized official title is Owner and has the following contact phone number (253) 891-2160.
The CLIA number assigned to this NPI record is 50D0959263 - other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/7/2008 and was last updated on 3/7/2008.