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Organization

GUMSHOE HEALTH

Active
Parent organization
GUMSHOE HEALTH
Organization subpart
Yes

Provider details

NPI number
Legal business name
GUMSHOE HEALTH
Authorized official
DR. SAMANTHA DESMOND ND, LMP (PRESIDENT)
(206) 747-7681
Entity
Organization

Contact information

Practice address
509 OLIVE WAY, STE 755, SEATTLE, WA 98101-1720
(206) 420-8682
(360) 282-0006
Mailing address
509 OLIVE WAY, STE 755, SEATTLE, WA 98101-1720
(206) 420-8682
(360) 282-0006

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
6035903030010001
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1659725455
WA
Enumeration date
04/14/2017
Last updated
04/14/2017
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