| Laurelhurst Family Medicine | |
|
4413 38th Ave Ne Seattle WA 98105-5632 | |
| (206) 523-1545 | |
| (206) 523-1751 |
| Full Name | Laurelhurst Family Medicine |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4413 38th Ave Ne, Seattle, Washington |
| Authorized Official Name and Position | John B Thomas (PHYSICIAN) |
| Authorized Official Contact | 2065231545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurelhurst Family Medicine 4413 38th Ave Ne Seattle WA 98105-5632 Ph: (206) 523-1545 | Laurelhurst Family Medicine 4413 38th Ave Ne Seattle WA 98105-5632 Ph: (206) 523-1545 |
| NPI Number | 1366652661 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 08/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366652661 | NPI | - | NPPES |
| 7040868 | Medicaid | WA | |
| 0173463 | Other | WA | LABOR & INDUSTRIES |
| 1016856 | Medicaid | WA | |
| 17171 | Other | WA | LABOR AND INDUSTRIES |
| 1703503 | Medicaid | WA | |
| 06802 | Other | WA | LABOR AND INDUSTRIES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD00017961 (Washington) | Primary |
| 261QP2300X | Clinic/center - Primary Care | MD00023891 (Washington) | Secondary |
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