# NEIGHBORCARE HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** McDermott Place Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679891402
- **Authorized official:** MS. AMANDA L LANGAN (PROVIDER ENROLLMENT SPECIALIST)
- **Authorized official phone:** (206) 548-3114

## Contact information

- **Practice address:** 12736 33RD AVE NE, SUITE 200, SEATTLE, WA 98125-4504
- **Practice address phone:** (206) 367-0135
- **Practice address fax:** (206) 367-0150
- **Mailing address:** 905 SPRUCE ST STE 300, SEATTLE, WA 98104-2474
- **Mailing address phone:** (206) 367-0135
- **Mailing address fax:** (206) 367-0150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/04/2010
- **Last updated:** 06/12/2013