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219 State Ave N Ste 220 Kent WA 98030-4543 | |
| (206) 764-8019 | |
| (253) 480-2937 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 219 State Ave N Ste 220, Kent, 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: (253) 681-6626 | 219 State Ave N Ste 220 Kent WA 98030-4543 Ph: (206) 764-8019 |
| NPI Number | 1619547288 |
|---|---|
| Provider Enumeration Date | 06/28/2021 |
| Last Update Date | 01/31/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619547288 | NPI | - | NPPES |
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