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Organization
US COAST GUARD
Active
Organization
US COAST GUARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLINIC ADMINISTRATOR (CLINICADMINISTRATOR)
(206) 217-6441
Entity
Organization
Contact information
Practice address
1519 ALASKAN WAY S, ISC SEATTLE/MEDICAL, SEATTLE, WA 98134-1102
(206) 217-6441
(206) 217-6636
Mailing address
ISC SEATTLE, 1519 ALASKAN WAY SOUTH, SEATTLE, WA 98134-1102
(206) 217-6441
(206) 217-6636
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/31/2006
Last updated
08/22/2020
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