| |
753 N 35th St Ste 104 Seattle WA 98103-8870 | |
(206) 547-5959 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 753 N 35th St Ste 104, Seattle, Washington |
Authorized Official Name and Position | Tamara Dickson (PHYSICIAN/OWNER) |
Authorized Official Contact | 2065475959 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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6308 24th Ave Nw Apt 103 Seattle WA 98107-2474 Ph: (203) 984-5412 | 753 N 35th St Ste 104 Seattle WA 98103-8870 Ph: (206) 547-5959 |
NPI Number | 1659746014 |
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Provider Enumeration Date | 12/09/2015 |
Last Update Date | 12/09/2015 |
Identifier | Type | State | Issuer |
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1659746014 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | NT60116127 (Washington) | Primary |
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