Organization
SEA MAR COMMUNITY HEALTH CENTERS
Active
Organization
SEA MAR COMMUNITY HEALTH CENTERS
Active
Other names
Sea Mar CHC Seattle Adolescent Medical Clinic, Sea-Mar Community Health Center
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) 974-8005
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-3335
(206) 764-0489
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
171M00000X
Case Manager/Care Coordinator
—
—
207Q00000X
Family Medicine Physician
—
—
207QA0000X
Adolescent Medicine (Family Medicine) Physician
—
—
207QA0505X
Adult Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
208000000X
Pediatrics Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
03/25/2019
Last updated
08/27/2026
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