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Organization
PUBLIC HOSPITAL DISTRICT #1 OF KING COUNTY
Active
Organization
PUBLIC HOSPITAL DISTRICT #1 OF KING COUNTY
Active
Other names
VMC Kent Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FARLEY CPC (TECHNICAL COORDINATOR)
(425) 917-6282
Entity
Organization
Contact information
Practice address
24920 104TH AVE SE, KENT, WA 98030-6443
(253) 395-2000
(253) 395-1956
Mailing address
3600 LIND AVE SW, SUITE 100, RENTON, WA 98055-4934
(425) 656-5412
(425) 656-5423
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
NULL
106H00000X
Marriage & Family Therapist
—
—
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
NULL
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
05/28/2006
Last updated
01/15/2008
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