| |
999 3rd Ave Suite 680 Seattle WA 98104-4019 | |
(206) 838-6856 | |
(206) 838-3085 |
Full Name | |
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Speciality | Family Medicine |
Location | 999 3rd Ave, Seattle, Washington |
Authorized Official Name and Position | Julie Maria Smith (CLINIC MANAGER) |
Authorized Official Contact | 2068386856 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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999 3rd Ave Suite 680 Seattle WA 98104-4019 Ph: (206) 838-6856 | 999 3rd Ave Suite 680 Seattle WA 98104-4019 Ph: (206) 838-6856 |
NPI Number | 1902935711 |
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Provider Enumeration Date | 03/05/2007 |
Last Update Date | 02/06/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902935711 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
261Q00000X | Clinic/center | 602476731 (Washington) | Secondary |
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