Greenlake Primary Care | |
6800 E Green Lake Way N Suite 200 Seattle WA 98115-5489 | |
(206) 524-5656 | |
(206) 524-2841 |
Full Name | Greenlake Primary Care |
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Speciality | Family Medicine |
Location | 6800 E Green Lake Way N, Seattle, Washington |
Authorized Official Name and Position | Tess T Moore (OWNER) |
Authorized Official Contact | 2065245656 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Greenlake Primary Care 6800 E Green Lake Way N Suite 200 Seattle WA 98115-5489 Ph: (206) 524-5656 | Greenlake Primary Care 6800 E Green Lake Way N Suite 200 Seattle WA 98115-5489 Ph: (206) 524-5656 |
NPI Number | 1932492071 |
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Provider Enumeration Date | 05/23/2011 |
Last Update Date | 09/19/2024 |
Medicare PECOS PAC ID | 8729257209 |
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Medicare Enrollment ID | O20110818000334 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932492071 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Naomi Busch |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437191889 PECOS PAC ID: 9436119492 Enrollment ID: I20070709000149 |
Provider Name | Kari Yukimi Palmer |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871514018 PECOS PAC ID: 5294717179 Enrollment ID: I20090127000111 |
Provider Name | Tess T Moore |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215190517 PECOS PAC ID: 2264567619 Enrollment ID: I20100324000325 |
Provider Name | Krista A Hodne |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1851318216 PECOS PAC ID: 4981664927 Enrollment ID: I20160506000799 |
Provider Name | Kristin J Mellein |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184024747 PECOS PAC ID: 3779875901 Enrollment ID: I20170504001372 |
Provider Name | Sandra W Edpao |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689190431 PECOS PAC ID: 7416215066 Enrollment ID: I20180425001958 |
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