Organization
SEATTLE INDIAN HEALTH BOARD
Active
Parent organization
SEATTLE INDIAN HEALTH BOARD
Organization subpart
Yes
Provider details
NPI number
Legal business name
SEATTLE INDIAN HEALTH BOARD
Authorized official
YVETTE YAZZIE DO (CREDENTIALING)
(206) 324-9360
Entity
Organization
Contact information
Practice address
124 2ND AVE S, SEATTLE, WA 98104-5168
(206) 292-6214
Mailing address
611 12TH AVE S, SEATTLE, WA 98144-2007
(206) 324-9360
(206) 899-1682
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
12/31/2019
Last updated
09/15/2022
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