Organization
SEA - MAR COMMUNITY HEALTH CENTER
Active
Other names
Sea Mar Adolescent Medical
Organization subpart
No
Provider details
NPI number
Authorized official
JOLEE ANN ELIZABETH SANKEY (CREDENTIALING SUPERVISOR)
(206) 474-2001
Entity
Organization
Contact information
Practice address
9635 DES MOINES MEMORIAL DR, SEATTLE, WA 98108-5061
(206) 474-2001
(206) 764-8005
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-3335
(206) 764-0489
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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