Organization
VITAL FAMILY MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGIE IKEDA ND (OWNER)
(206) 518-8939
Entity
Organization
Contact information
Practice address
3513 NE 45TH ST STE 2, SEATTLE, WA 98105-5665
(206) 518-8938
(206) 525-3273
Mailing address
3513 NE 45TH ST STE 2, SEATTLE, WA 98105-5665
(206) 518-8938
(206) 525-3273
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
603118032
WA
Other
Enumeration date
09/21/2012
Last updated
09/21/2012
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