| Sea-mar Chc Salmon Creek Dental | |
|
14508 Ne 20th Ave Suite 301 Vancouver WA 98686-6424 | |
| (206) 763-5277 | |
| Not Available |
| Full Name | Sea-mar Chc Salmon Creek Dental |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 14508 Ne 20th Ave, Vancouver, Washington |
| Authorized Official Name and Position | Mary Bartolo (DEPUTY DIRECTOR) |
| Authorized Official Contact | 2067635277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sea-mar Chc Salmon Creek Dental Po Box 34703 Seattle WA 98124-1703 Ph: () - | Sea-mar Chc Salmon Creek Dental 14508 Ne 20th Ave Suite 301 Vancouver WA 98686-6424 Ph: (206) 763-5277 |
| NPI Number | 1588190359 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 05/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588190359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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