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202 N Division St Ste 300 Auburn WA 98001-4939 | |
| (206) 763-5277 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 202 N Division St Ste 300, Auburn, Washington |
| Authorized Official Name and Position | Rogelio Riojas (CEO) |
| Authorized Official Contact | 2067635277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 34703 Seattle WA 98124-1703 Ph: () - | 202 N Division St Ste 300 Auburn WA 98001-4939 Ph: (206) 763-5277 |
| NPI Number | 1043807290 |
|---|---|
| Provider Enumeration Date | 12/22/2020 |
| Last Update Date | 01/31/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043807290 | NPI | - | NPPES |
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