| |
819 Ne 65th St Seattle WA 98115-5539 | |
(206) 729-9999 | |
(206) 729-0164 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 819 Ne 65th St, Seattle, Washington |
Authorized Official Name and Position | Psalm Renee Pollock (OFFICE MANAGER) |
Authorized Official Contact | 2067299999 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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819 Ne 65th St Seattle WA 98115-5539 Ph: (206) 729-9999 | 819 Ne 65th St Seattle WA 98115-5539 Ph: (206) 729-9999 |
NPI Number | 1710100268 |
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Provider Enumeration Date | 04/11/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710100268 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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