| Swedish Physician Division | |
|
747 Broadway Seattle WA 98122-4379 | |
| (206) 215-2520 | |
| (206) 986-3180 |
| Full Name | Swedish Physician Division |
|---|---|
| Speciality | Nurse Practitioner - Adult Health |
| Location | 747 Broadway, Seattle, Washington |
| Authorized Official Name and Position | Kevin L Brown (VICE PRESIDENT) |
| Authorized Official Contact | 2063203665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Swedish Physician Division Po Box 84026 Seattle WA 98124-8426 Ph: (206) 320-4933 | Swedish Physician Division 747 Broadway Seattle WA 98122-4379 Ph: (206) 215-2520 |
| NPI Number | 1053362327 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053362327 | NPI | - | NPPES |
| 7105190 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Washington) | Primary |
| 363A00000X | Physician Assistant | (Washington) | Primary |
| 363LA2200X | Nurse Practitioner - Adult Health | (Washington) | Primary |
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