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2101 E Yesler Way Suite 150 Seattle WA 98122-5959 | |
(206) 299-1900 | |
(206) 299-1920 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 2101 E Yesler Way, Seattle, Washington |
Authorized Official Name and Position | Angie Treptow (INTERIM DIRECTOR OF FINANCE) |
Authorized Official Contact | 2062991937 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2101 E Yesler Way Suite 210 Seattle WA 98122-5959 Ph: (206) 709-7112 | 2101 E Yesler Way Suite 150 Seattle WA 98122-5959 Ph: (206) 299-1900 |
NPI Number | 1497189773 |
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Provider Enumeration Date | 08/22/2013 |
Last Update Date | 05/17/2024 |
Identifier | Type | State | Issuer |
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1497189773 | NPI | - | NPPES |
2034758 | Medicaid | WA |
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