| Amen Clinic Northwest | |
|
545 Andover Park W Ste 101 Tukwila WA 98188-3347 | |
| (425) 455-7500 | |
| (425) 454-7845 |
| Full Name | Amen Clinic Northwest |
|---|---|
| Speciality | Psychiatry & Neurology - Diagnostic Neuroimaging |
| Location | 545 Andover Park W Ste 101, Tukwila, Washington |
| Authorized Official Name and Position | Christina T Mccormick (DATA SYSTEMS SPECIALIST) |
| Authorized Official Contact | 7038804000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amen Clinic Northwest 545 Andover Park W Ste 101 Tukwila WA 98188-3347 Ph: (425) 455-7500 | Amen Clinic Northwest 545 Andover Park W Ste 101 Tukwila WA 98188-3347 Ph: (425) 455-7500 |
| NPI Number | 1124149851 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 01/19/2022 |
| Certification Date | 01/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124149851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084D0003X | Psychiatry & Neurology - Diagnostic Neuroimaging | (* (Not Available)) | Primary |
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