| |
7424 Bridgeport Way W Ste 305&307 Lakewood WA 98499-8120 | |
(253) 246-6820 | |
(253) 280-9817 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 7424 Bridgeport Way W Ste 305&307, Lakewood, Washington |
Authorized Official Name and Position | Rogelio Riojas (CEO) |
Authorized Official Contact | 2067635277 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 34703 Seattle WA 98124-1703 Ph: () - | 7424 Bridgeport Way W Ste 305&307 Lakewood WA 98499-8120 Ph: (253) 246-6820 |
NPI Number | 1972136646 |
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Provider Enumeration Date | 02/20/2020 |
Last Update Date | 01/31/2025 |
Certification Date | 01/31/2025 |
Identifier | Type | State | Issuer |
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1972136646 | NPI | - | NPPES |
2154366 | Medicaid | WA |
Paul Kenneth Henry Med Lmhc Ps Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9101 Bridgeport Way Sw Ste D2, Lakewood, WA 98499 Phone: 253-394-6045 | |
Lakewood Wellness Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10310 Gravelly Lake Dr Sw Ste B, Lakewood, WA 98499 Phone: 253-888-3405 | |