NPI

Enumclaw Internal Medicine And Diagnostics, Ps

This page is a copy of the public NPPES file.

Facts

Status
Active
Type
Organization
Enumeration date
2008-04-04
Last updated
2018-10-10

Specialties

Licenses

The registry row did not include a license.

Location

Practice location
1427 Jefferson Ave, Suite # 102
City
Enumclaw WA
Postal code
98022-3649
Phone
(360) 802-0803

Organization contact

Name
EMITIS HOSODA
Title
President
Phone
3608020803

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Enumclaw, WA. 465 records in the public file.

Removal request

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