| |
500 17th Ave Seattle WA 98122-5711 | |
(206) 320-4732 | |
(206) 320-4734 |
Full Name | |
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Speciality | Nurse Practitioner - Adult Health |
Location | 500 17th Ave, 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 |
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Po Box 84026 Seattle WA 98124-8426 Ph: (206) 320-4476 | 500 17th Ave Seattle WA 98122-5711 Ph: (206) 320-4732 |
NPI Number | 1275574725 |
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Provider Enumeration Date | 06/08/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275574725 | NPI | - | NPPES |
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