| |
7201 5th Ave Ne Seattle WA 98115-5325 | |
(206) 517-4748 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 7201 5th Ave Ne, Seattle, Washington |
Authorized Official Name and Position | Jeff R Harris (OWNER) |
Authorized Official Contact | 2065174748 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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7201 5th Ave Ne Seattle WA 98115-5325 Ph: (206) 517-4748 | 7201 5th Ave Ne Seattle WA 98115-5325 Ph: (206) 517-4748 |
NPI Number | 1063538197 |
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Provider Enumeration Date | 03/21/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1063538197 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | NT00000673 (Washington) | Primary |
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