| |
500 5th Ave N Seattle WA 98109-4636 | |
(206) 470-1900 | |
(206) 209-5756 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 500 5th Ave N, Seattle, Washington |
Authorized Official Name and Position | Janell Hansen (LICENSING ANALYST) |
Authorized Official Contact | 2063956973 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1201 2nd Ave Ste 1400 Seattle WA 98101-3020 Ph: (206) 395-7870 | 500 5th Ave N Seattle WA 98109-4636 Ph: (206) 470-1900 |
NPI Number | 1720704240 |
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Provider Enumeration Date | 10/17/2022 |
Last Update Date | 05/04/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720704240 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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