| |
3513 Ne 45th St Suite 2 West Seattle WA 98105-5660 | |
(206) 535-7527 | |
(888) 710-4862 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 3513 Ne 45th St, Seattle, Washington |
Authorized Official Name and Position | Margie S Ikeda (OWNER) |
Authorized Official Contact | 2065357527 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3513 Ne 45th St Suite 2 West Seattle WA 98105-5660 Ph: (206) 535-7527 | 3513 Ne 45th St Suite 2 West Seattle WA 98105-5660 Ph: (206) 535-7527 |
NPI Number | 1619364718 |
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Provider Enumeration Date | 04/16/2015 |
Last Update Date | 04/16/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619364718 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | NT60554923 (Washington) | Primary |
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