| Sea-mar Adolecent Medical | |
|
9635 Des Moines Memorial Dr Seattle WA 98108-5061 | |
| (206) 474-2001 | |
| (206) 974-8005 |
| Full Name | Sea-mar Adolecent Medical |
|---|---|
| Speciality | Clinic/Center |
| Location | 9635 Des Moines Memorial Dr, Seattle, Washington |
| Authorized Official Name and Position | Jolee Ann Elizabeth Sankey (CREDENTIALING SUPERVISOR) |
| Authorized Official Contact | 2064742001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sea-mar Adolecent Medical Po Box 34703 Seattle WA 98124-1703 Ph: (206) 764-3335 | Sea-mar Adolecent Medical 9635 Des Moines Memorial Dr Seattle WA 98108-5061 Ph: (206) 474-2001 |
| NPI Number | 1144780008 |
|---|---|
| Provider Enumeration Date | 03/25/2019 |
| Last Update Date | 09/14/2023 |
| Medicare PECOS PAC ID | 7315831161 |
|---|---|
| Medicare Enrollment ID | O20190723001466 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144780008 | NPI | - | NPPES |
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