| |
1530 N 115th St Suite 303 Seattle WA 98133-8411 | |
(206) 368-1933 | |
(206) 368-1931 |
Full Name | |
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Speciality | Family Medicine |
Location | 1530 N 115th St, Seattle, Washington |
Authorized Official Name and Position | Charles William Schneider (PRES/CEO) |
Authorized Official Contact | 2063681700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1530 N 115th St Suite 303 Seattle WA 98133-8411 Ph: (206) 368-1933 | 1530 N 115th St Suite 303 Seattle WA 98133-8411 Ph: (206) 368-1933 |
NPI Number | 1215973144 |
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Provider Enumeration Date | 06/20/2006 |
Last Update Date | 04/05/2011 |
Identifier | Type | State | Issuer |
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1215973144 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 18416 (Washington) | Primary |
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