| Organization Name: | FISHERS LANDING URGENT AND FAMILY CARE |
| NPI Number: | 1316161136 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RON KING (OWNER) |
| Mailing Address: | 3307 Evergreen Way Ste 704 Washougal |
| State: | WA US |
| Postal Code: | 986712065 |
| Phone Number: | 3603351107 |
| Fax Number: | 3603351109 |
| NPI Enumeration Date: | 04/12/2007 |
| NPI Last Update Date: | 04/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | 17866 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |