OrganizationActive
4th Street Medical Care PLLC
NPI 1659559409 · Primary Care Clinic/Center · Marysville, WA
Provider details
- NPI number
- 1659559409
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Santosa Ho, Owner
- License
- 602329907 (WA)
Practice location
1602 4th St
Marysville, WA 98270-5014
Phone: (360) 659-4141
Fax: (360) 659-1712
Mailing address
1602 4th St
Marysville, WA 98270-5014
Registry dates
- Enumerated
- 2008-02-04
- Last updated
- 2014-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.