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9030 35th Ave Sw Ste D100 Seattle WA 98126-3821 | |
(206) 209-1390 | |
(206) 309-2124 |
Full Name | |
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Speciality | General Practice |
Location | 9030 35th Ave Sw Ste D100, Seattle, Washington |
Authorized Official Name and Position | A. Stephanie Onedo (MEDICAL DIRECTOR/PHYSICIAN) |
Authorized Official Contact | 3024025509 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1041 N Dupont Hwy # 1391 Dover DE 19901-2006 Ph: (302) 402-5509 | 9030 35th Ave Sw Ste D100 Seattle WA 98126-3821 Ph: (206) 209-1390 |
NPI Number | 1790547289 |
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Provider Enumeration Date | 01/29/2024 |
Last Update Date | 03/29/2024 |
Medicare PECOS PAC ID | 4183062748 |
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Medicare Enrollment ID | O20240402004093 |
Identifier | Type | State | Issuer |
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1790547289 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Akpevwoghene Onedo |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1023549441 PECOS PAC ID: 7214214949 Enrollment ID: I20220627003157 |
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