Steneker Family Medicine | |
19987 1st Ave S Ste 102 Normandy Park WA 98148-2400 | |
(206) 944-1500 | |
(425) 412-3281 |
Full Name | Steneker Family Medicine |
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Speciality | Family Medicine |
Location | 19987 1st Ave S Ste 102, Normandy Park, Washington |
Authorized Official Name and Position | Sjardo Steneker (OWNER) |
Authorized Official Contact | 2068194664 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Steneker Family Medicine 20004 87th Ave Sw Vashon WA 98070-6275 Ph: (206) 819-4664 | Steneker Family Medicine 19987 1st Ave S Ste 102 Normandy Park WA 98148-2400 Ph: (206) 944-1500 |
NPI Number | 1124759899 |
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Provider Enumeration Date | 06/22/2022 |
Last Update Date | 06/22/2022 |
Medicare PECOS PAC ID | 0345610929 |
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Medicare Enrollment ID | O20221222000717 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124759899 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Sjardo L Steneker |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346444296 PECOS PAC ID: 7315999356 Enrollment ID: I20050217000519 |
Sea-mar Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19655 1st Ave S, Suite 101, Normandy Park, WA 98148 Phone: 206-870-6118 Fax: 206-870-6120 |