Organization
HEALTHPOINT
Active
Organization
HEALTHPOINT
Active
Other names
HealthPoint Tukwila Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DUANE NAKAMURA (CREDENTIALING COORDINATOR)
(425) 277-1311
Entity
Organization
Contact information
Practice address
13030 MILITARY RD S, SUITE 210, TUKWILA, WA 98168-3085
(425) 277-1311
Mailing address
955 POWELL AVE SW, RENTON, WA 98057-2908
(425) 277-1311
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
600461511
WA
Other
Enumeration date
04/13/2016
Last updated
04/13/2016
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