| People Of Color Against Aids Network | |
|
901 Rainier Ave N Ste B203 Renton WA 98057-5376 | |
| (206) 653-9353 | |
| (206) 934-1515 |
| Full Name | People Of Color Against Aids Network |
|---|---|
| Speciality | Nurse Practitioner - Family |
| Location | 901 Rainier Ave N Ste B203, Renton, Washington |
| Authorized Official Name and Position | Chris L Porter (HEALTHCARE MANAGER) |
| Authorized Official Contact | 2066539353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| People Of Color Against Aids Network 901 Rainier Ave N Ste B203 Renton WA 98057-5376 Ph: (206) 653-9353 | People Of Color Against Aids Network 901 Rainier Ave N Ste B203 Renton WA 98057-5376 Ph: (206) 653-9353 |
| NPI Number | 1114782414 |
|---|---|
| Provider Enumeration Date | 02/15/2024 |
| Last Update Date | 02/15/2024 |
| Certification Date | 02/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114782414 | NPI | - | NPPES |
| 7408800 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
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