Organization
NEIGHBORCARE HEALTH
Active
Other names
Neighborcare Health Dental at Providence St. Peter
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ERIKSON (CEO)
(206) 548-3100
Entity
Organization
Contact information
Practice address
525 LILLY RD NE, OLYMPIA, WA 98506-5101
(206) 548-3100
Mailing address
PO BOX 3835, SEATTLE, WA 98124-3835
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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