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1959 Ne Pacific St Seattle WA 98195-0001 | |
| (206) 598-4720 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1959 Ne Pacific St, Seattle, Washington |
| Authorized Official Name and Position | Cynthia J. Hecker (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2066682774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 24366 Seattle WA 98124-0366 Ph: (206) 598-0502 | 1959 Ne Pacific St Seattle WA 98195-0001 Ph: (206) 598-4720 |
| NPI Number | 1891895835 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 05/20/2021 |
| Certification Date | 05/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891895835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | H-128 (Washington) | Primary |
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