<unavail> in Seattle, WA - General Practice

is a primary clinic (General Practice) in Seattle, Washington. The current practice location for is 2004 Fairview Ave, Seattle, Washington. For appointments, you can reach them via phone at (206) 713-4721. The mailing address for is 5701 Lake Otis Pkwy Ste 100, Anchorage, Alaska and phone number is (206) 713-4721.

is licensed to practice in Alaska (license number 1305) and its NPI number is 1639598568. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (206) 713-4721.

Contact Information


	2004 Fairview Ave Seattle WA 98121-2704
	(206) 713-4721
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	General Practice
Location	2004 Fairview Ave, Seattle, Washington
Authorized Official Name and Position	Kyle T Bergquist (OWNER)
Authorized Official Contact	2067134721
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
5701 Lake Otis Pkwy Ste 100 Anchorage AK 99507-1778 Ph: (206) 713-4721	2004 Fairview Ave Seattle WA 98121-2704 Ph: (206) 713-4721

NPI Details:

NPI Number	1639598568
Provider Enumeration Date	04/08/2014
Last Update Date	04/08/2014

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639598568	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	1305 (Alaska)	Primary

Reviews and Comments

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- Primary Care in Seattle, WA