Organization
GPC, PLLC
Active
Other names
Greenlake DPC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAOMI BUSCH MD (MANAGING MEMBER)
(206) 914-6116
Entity
Organization
Contact information
Practice address
6800 E GREEN LAKE WAY N STE 200, SEATTLE, WA 98115-5491
(206) 524-5656
(206) 524-2841
Mailing address
6800 E GREEN LAKE WAY N STE 200, SEATTLE, WA 98115-5491
(206) 524-5656
(206) 524-2841
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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