Active NPI
Foothills Internal Medicine PLLC
- Primary Care Clinic/Center
- Enumclaw, WA
National Provider Identifier
1235443334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 603032697
- Legal business name
- FOOTHILLS INTERNAL MEDICINE PLLC
- Practice address
- 2820 Griffin Ave
Suite 204
Enumclaw, WA 98022-2373 - Phone
- (360) 825-8900
- NPI assigned
- Jul 30, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jane Marie Houtz, M.D.
- Title
- Owner
- Phone
- (360) 825-8900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 603032697 | WA | Primary |
Addresses
Primary practice location
2820 Griffin Ave
Suite 204
Enumclaw, WA 98022-2373
Mailing address
2820 Griffin Ave
Suite 204
Enumclaw, WA 98022-2373
Phone (360) 825-8900
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280448000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280448000000",
"number": "1235443334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2820 GRIFFIN AVE",
"address_2": "SUITE 204",
"city": "ENUMCLAW",
"state": "WA",
"postal_code": "980222373",
"telephone_number": "360-825-8900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 GRIFFIN AVE",
"address_2": "SUITE 204",
"city": "ENUMCLAW",
"state": "WA",
"postal_code": "980222373",
"telephone_number": "360-825-8900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOTHILLS INTERNAL MEDICINE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-30",
"last_updated": "2010-07-30",
"status": "A",
"authorized_official_last_name": "HOUTZ",
"authorized_official_first_name": "JANE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "360-825-8900",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "WA",
"license": "603032697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Enumclaw, WA
- Stephanie L Flesher, MA
- Tara Lyn Jean Fletcher, LMT
- Jared Olin Flothe, LMHC
- Kerry Walsh Flothe, LMHC
- Foothills Compounding Pharmacy LLC (Foothills Compounding Pharmacy)
- Foothills Midwifery
- Alexander Eugene Foster, LMHC
- Four Directions Massage PLLC
- Larissa Francis, REGISTERED DIETITIAN
- Franciscan Medical Group (FMG-Franciscan Orthopedic Associates - Enumclaw)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.