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Organization
HEALTHY LIFE PHYSICIANS GROUP PACIFIC NORTHWEST, P.C.
Active
Organization
HEALTHY LIFE PHYSICIANS GROUP PACIFIC NORTHWEST, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY SMITH MD (PRESIDENT)
(617) 505-1520
Entity
Organization
Contact information
Practice address
1455 NW LEARY WAY STE 400, SEATTLE, WA 98107-5138
(617) 505-1520
(617) 928-8401
Mailing address
109 STATE STREET, 5TH FL, BOSTON, MA 02109-2906
(617) 505-1520
(617) 928-8401
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
Other
Enumeration date
03/22/2022
Last updated
03/18/2026
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