Organization
URBAN IMPACT COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ELISABETH A KINGSLEY (CLINIC MANAGER)
(206) 601-7200
Entity
Organization
Contact information
Practice address
7722 RAINIER AVE S, SEATTLE, WA 98118-4139
(206) 601-7200
Mailing address
7722 RAINIER AVE S, SEATTLE, WA 98118-4139
(206) 601-7200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/04/2009
Last updated
12/04/2009
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