| Department Of Veterans Affairs | |
|
1600 S Columbian Way Seattle WA 98108-1565 | |
| (206) 762-1010 | |
| Not Available |
| Full Name | Department Of Veterans Affairs |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1600 S Columbian Way, Seattle, Washington |
| Authorized Official Name and Position | Sergio Mascarenas (SOCIAL WORKER) |
| Authorized Official Contact | 2067621010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Department Of Veterans Affairs 1600 S Columbian Way Seattle WA 98108-1565 Ph: (206) 762-1010 | Department Of Veterans Affairs 1600 S Columbian Way Seattle WA 98108-1565 Ph: (206) 762-1010 |
| NPI Number | 1326581976 |
|---|---|
| Provider Enumeration Date | 11/30/2016 |
| Last Update Date | 11/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326581976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LW60156433 (Washington) | Primary |
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