Newly enumerated
The official enumeration date falls within the documented new-enumeration window.
- Enumeration date is 45 days before observation
Type 2 organization · NPI 1558295386
FRED MEYER STORES INC
3336C0003X · MERCER ISLAND, WA
Why this profile is appearing now
Observed change signals
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 3336C0003X | 3336C0003X | Primary |
| 332B00000X | 332B00000X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s