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116 Fairview Ave N Seattle WA 98109-5360 | |
(206) 718-0742 | |
(253) 813-3686 |
Full Name | |
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Speciality | Clinic/center - Urgent Care |
Location | 116 Fairview Ave N, Seattle, Washington |
Authorized Official Name and Position | Andrew T Le (MEDICAL DIRECTOR) |
Authorized Official Contact | 4252913300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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18012 W Valley Hwy Suite 101 Kent WA 98032-2924 Ph: (425) 291-3300 | 116 Fairview Ave N Seattle WA 98109-5360 Ph: (206) 718-0742 |
NPI Number | 1629466917 |
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Provider Enumeration Date | 01/08/2015 |
Last Update Date | 06/19/2019 |
Identifier | Type | State | Issuer |
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1629466917 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
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