| |
5011 W. Lowell Ave Seattle WA 99208-8587 | |
(509) 484-8069 | |
Not Available |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 5011 W. Lowell Ave, Seattle, Washington |
Authorized Official Name and Position | Michael J Mallory (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 4255256798 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 34439 Seattle WA 98124-1439 Ph: (425) 525-6798 | 5011 W. Lowell Ave Seattle WA 99208-8587 Ph: (509) 484-8069 |
NPI Number | 1184915829 |
---|---|
Provider Enumeration Date | 04/28/2011 |
Last Update Date | 04/28/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184915829 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Vera Whole Health Wa Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4540 Sand Point Way Ne Ste 100, Seattle, WA 98105 Phone: 206-575-8880 Fax: 206-223-2334 | |
Every Body Moves, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5238 57th Ave S, Seattle, WA 98118 Phone: 206-618-5632 | |
Landmark Medical Of Washington Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2150 N 107th St Ste 480, Seattle, WA 98133 Phone: 877-240-3112 |