# DEP. VETERANS AFFAIRS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003149121
- **Authorized official:** MR. JAVIER D ACEVEDO CLINICAL SPECIALIST (CLINICAL SPECIALIST)
- **Authorized official phone:** (253) 583-1665

## Contact information

- **Practice address:** 1660 SOUTH COLUMBIAN WAY, PUGET SOUND HEALTH CARE SYSTEM, SEATTLE, WA 98108-1597
- **Practice address phone:** (206) 764-2457
- **Mailing address:** 1660 S. SOUTH COLUMBIA WAY, PUGET SOUND HEALTH CARE SYSTEM, SEATTLE, WA 98108-1597
- **Mailing address phone:** (206) 764-2457

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 09/08/2009
- **Last updated:** 09/08/2009