Organization
NEIGHBORCARE HEALTH
Active
Other names
Neighborcare Health at 45th Street
Organization subpart
No
Provider details
NPI number
Authorized official
CHARISSE MARSHALL (DIRECTOR OF REVENUE CYCLE)
(206) 548-3102
Entity
Organization
Contact information
Practice address
1629 N 45TH ST, SEATTLE, WA 98103-6701
(206) 633-3350
(206) 633-3113
Mailing address
1200 12TH AVE S STE 901, SEATTLE, WA 98144-2712
(206) 548-3114
(206) 962-2342
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006785
—
WA
01
—
50D0631474
CLIA
WA
05
—
7115967
—
WA
Enumeration date
07/04/2006
Last updated
09/10/2025
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