Sisters In Common | |
2314 E Union St 207 Seattle WA 98122-2966 | |
(206) 726-0430 | |
(206) 726-0439 |
Full Name | Sisters In Common |
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Speciality | Community/Behavioral Health |
Location | 2314 E Union St, Seattle, Washington |
Authorized Official Name and Position | Joeanne Taylor (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 2062961522 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sisters In Common Po Box 221015 Seattle WA 98122-1015 Ph: (206) 726-0430 | Sisters In Common 2314 E Union St 207 Seattle WA 98122-2966 Ph: (206) 726-0430 |
NPI Number | 1962774455 |
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Provider Enumeration Date | 01/31/2012 |
Last Update Date | 01/31/2012 |
Medicare PECOS PAC ID | 0941648349 |
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Medicare Enrollment ID | O20240404001031 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962774455 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 270 (Washington) | Primary |
Provider Name | Jc Ephraim |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1497028823 PECOS PAC ID: 9032569066 Enrollment ID: I20240103000977 |
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