| |
3313 W Mcgraw St Seattle WA 98199-3209 | |
(206) 352-7205 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 3313 W Mcgraw St, Seattle, Washington |
Authorized Official Name and Position | Susan Chace (OWNER) |
Authorized Official Contact | 2063527205 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3313 W Mcgraw St Seattle WA 98199-3209 Ph: () - | 3313 W Mcgraw St Seattle WA 98199-3209 Ph: (206) 352-7205 |
NPI Number | 1780863969 |
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Provider Enumeration Date | 10/24/2007 |
Last Update Date | 10/24/2007 |
Identifier | Type | State | Issuer |
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1780863969 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | MA00022659 (Washington) | Primary |
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