| King County Outpatient Clinic | |
|
13925 Interurban Ave S Ste 120 Tukwila WA 98168-5726 | |
| (206) 948-0096 | |
| Not Available |
| Full Name | King County Outpatient Clinic |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 13925 Interurban Ave S Ste 120, Tukwila, Washington |
| Authorized Official Name and Position | Sandy Hobson (QUALITY ASSURANCE DIRECTOR) |
| Authorized Official Contact | 5107255727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| King County Outpatient Clinic 2275 Arlington Dr San Leandro CA 94578-1132 Ph: (510) 654-4004 | King County Outpatient Clinic 13925 Interurban Ave S Ste 120 Tukwila WA 98168-5726 Ph: (206) 948-0096 |
| NPI Number | 1174928501 |
|---|---|
| Provider Enumeration Date | 10/28/2014 |
| Last Update Date | 01/11/2022 |
| Certification Date | 01/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174928501 | NPI | - | NPPES |
| 200242 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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