Organization
THE POLYCLINIC PLLC
Active
Parent organization
THE POLYCLINIC PLLC
Other names
Optum Care Washington
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE POLYCLINIC PLLC
Authorized official
CRAIG PEPIN MD (OWNER)
(206) 860-5414
Entity
Organization
Contact information
Practice address
11011 MERIDIAN AVE N, SUITE 200, SEATTLE, WA 98133-8967
(203) 329-1760
Mailing address
1145 BROADWAY, SEATTLE, WA 98122-4201
(206) 329-1760
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208800000X
Urology Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/05/2015
Last updated
05/13/2024
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