| |
625 Boren Avenue North Seattle WA 98109 | |
(206) 408-2161 | |
(206) 315-1422 |
Full Name | |
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Speciality | Family Medicine |
Location | 625 Boren Avenue North, Seattle, Washington |
Authorized Official Name and Position | Andrew Diamond (PRESIDENT) |
Authorized Official Contact | 4156586791 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1 Embarcadero Ctr Ste 1900 San Francisco CA 94111-3723 Ph: (415) 658-6791 | 625 Boren Avenue North Seattle WA 98109 Ph: (206) 408-2161 |
NPI Number | 1891254009 |
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Provider Enumeration Date | 03/18/2019 |
Last Update Date | 07/13/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891254009 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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