| Pacific Northwell | |
|
509 Olive Way Suite 1101 Seattle WA 98101-1720 | |
| (253) 237-6237 | |
| Not Available |
| Full Name | Pacific Northwell |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 509 Olive Way, Seattle, Washington |
| Authorized Official Name and Position | Alejandro Jose Martinez Torres (GENERAL MANAGER) |
| Authorized Official Contact | 2062268434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Northwell 2607 Western Ave Apt 153 Seattle WA 98121-1326 Ph: () - | Pacific Northwell 509 Olive Way Suite 1101 Seattle WA 98101-1720 Ph: (253) 237-6237 |
| NPI Number | 1346616224 |
|---|---|
| Provider Enumeration Date | 08/14/2015 |
| Last Update Date | 08/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346616224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MC60476809 (Washington) | Primary |
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