Organization
GUMSHOE HEALTH
Active
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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