| |
3623 Sw Alaska St Seattle WA 98126-2732 | |
(206) 937-6799 | |
(206) 937-2380 |
Full Name | |
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Speciality | Family Medicine |
Location | 3623 Sw Alaska St, Seattle, Washington |
Authorized Official Name and Position | John P Morris (OWNER) |
Authorized Official Contact | 2062308456 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 13684 Seattle WA 98198-1010 Ph: (206) 592-5000 | 3623 Sw Alaska St Seattle WA 98126-2732 Ph: (206) 937-6799 |
NPI Number | 1033376355 |
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Provider Enumeration Date | 05/22/2008 |
Last Update Date | 09/28/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033376355 | NPI | - | NPPES |
DO2931 | Other | WA | RAILROAD MEDICARE |
7142680 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD00015777 (Washington) | Primary |
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