| Seattle Medical And Wellness Clinic | |
|
1325 4th Ave Suite 1240 Seattle WA 98101-2573 | |
| (206) 625-0202 | |
| Not Available |
| Full Name | Seattle Medical And Wellness Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1325 4th Ave, Seattle, Washington |
| Authorized Official Name and Position | Eileen Frances Gibbons (OWNER) |
| Authorized Official Contact | 2066250202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seattle Medical And Wellness Clinic 1325 4th Ave Suite 1240 Seattle WA 98101-2573 Ph: (206) 625-0202 | Seattle Medical And Wellness Clinic 1325 4th Ave Suite 1240 Seattle WA 98101-2573 Ph: (206) 625-0202 |
| NPI Number | 1336273903 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336273903 | NPI | - | NPPES |
| 7119654 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34303 (Washington) | Primary |
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