| International District Clinic | |
|
720 8th Ave S Suite 100 Seattle WA 98104-3032 | |
| (206) 788-3700 | |
| (206) 788-3706 |
| Full Name | International District Clinic |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 720 8th Ave S, Seattle, Washington |
| Authorized Official Name and Position | Peggy Phung (ASSISTANT FINANCE MANAGER) |
| Authorized Official Contact | 2067883605 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| International District Clinic Po Box 3007 Seattle WA 98114-3007 Ph: () - | International District Clinic 720 8th Ave S Suite 100 Seattle WA 98104-3032 Ph: (206) 788-3700 |
| NPI Number | 1679765259 |
|---|---|
| Provider Enumeration Date | 08/16/2007 |
| Last Update Date | 08/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679765259 | NPI | - | NPPES |
| 7137862 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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