Organization
DUFFY I, LP
Active
Other names
Schick Shadel Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUNE ELAINE OKSENDAHL (ADMINISTRATOR)
(206) 244-8100
Entity
Organization
Contact information
Practice address
12101 AMBAUM BLVD SW, BURIEN, WA 98146-2651
(206) 244-8100
(206) 431-9142
Mailing address
12101 AMBAUM BLVD SW, SEATTLE, WA 98146
(206) 244-8100
(206) 431-9142
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
AH-002
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
170
PREMERA
WA
Enumeration date
08/22/2006
Last updated
08/22/2020
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