Provider Demographics
NPI:1467654731
Name:ROBERT MCLAUGHLIN MD INC PS
Entity Type:Organization
Organization Name:ROBERT MCLAUGHLIN MD INC PS
Other - Org Name:CARE PLUS MEDICAL CENTER-FW
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:MCLAUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:253-941-5597
Mailing Address - Street 1:30800 PACIFIC HWY S
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-4902
Mailing Address - Country:US
Mailing Address - Phone:253-941-5597
Mailing Address - Fax:253-839-0962
Practice Address - Street 1:30800 PACIFIC HWY S
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-4902
Practice Address - Country:US
Practice Address - Phone:253-941-5597
Practice Address - Fax:253-839-0962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00023936261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7056666Medicaid
WA7056666Medicaid
WA000188800Medicare PIN