Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Senior Doc Wa PC

Organization Family Medicine Physician · NPI 1588430367

Senior Doc Wa PC is a Family Medicine Physician in Marysville, Washington. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

912 State Ave
Marysville, WA 98270-4239
Phone: (855) 434-7763
Fax: (949) 281-5550
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1588430367
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angelica Soto — Credentialing Specialist · (714) 702-5145
NPI enumeratedDecember 1, 2023
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025
Mailing address5 Hutton Centre Dr Ste 950, Santa Ana, CA 92707-8744

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