# U. S. COAST GUARD HEALTH SERVICES/ISC SEATTLE

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

## Provider details

- **NPI number:** 1558333203
- **Authorized official:** DANIEL RALPH WADDINGHAM PA (MEDICAL OFFICER)
- **Authorized official phone:** (206) 217-6436

## Contact information

- **Practice address:** 1519 ALASKAN WAY S, SEATTLE, WA 98134-1102
- **Practice address phone:** (206) 217-6436
- **Practice address fax:** (206) 217-6636
- **Mailing address:** 10019 48TH AVE NE, SEATTLE, WA 98125-8127
- **Mailing address phone:** (206) 306-9561
- **Mailing address fax:** (206) 217-6636

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | PA10004424 | WA | Yes |

## Other

- **Enumeration date:** 02/06/2006
- **Last updated:** 08/22/2020