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Organization
NEIGHBORCARE HEALTH
Active
Organization
NEIGHBORCARE HEALTH
Active
Other names
McDermott Place Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMANDA L LANGAN (PROVIDER ENROLLMENT SPECIALIST)
(206) 548-3114
Entity
Organization
Contact information
Practice address
12736 33RD AVE NE, SUITE 200, SEATTLE, WA 98125-4504
(206) 367-0135
(206) 367-0150
Mailing address
905 SPRUCE ST STE 300, SEATTLE, WA 98104-2474
(206) 367-0135
(206) 367-0150
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/04/2010
Last updated
06/12/2013
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