# PUBLIC HOSPITAL DISTRICT \#1 OF KING COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** VMC Peds at NewCastle
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629025333
- **Authorized official:** MELISSA FARLEY CPC (TECHNICAL COORDINATOR)
- **Authorized official phone:** (425) 917-6282

## Contact information

- **Practice address:** 6920 COAL CREEK PKWY SE, STE 12, NEWCASTLE, WA 98059-3147
- **Practice address phone:** (425) 656-4095
- **Mailing address:** 3600 LIND AVE SW, SUITE 100, RENTON, WA 98055-4934
- **Mailing address phone:** (425) 656-5412
- **Mailing address fax:** (425) 656-5423

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | NULL | Yes |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/28/2006
- **Last updated:** 01/15/2008
