Organization
NEIGHBORCARE HEALTH
Active
Other names
West Seattle teen Health Center Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SECORD (CEO)
(206) 548-3050
Entity
Organization
Contact information
Practice address
3000 CALIFORNIA AVE SW, SEATTLE, WA 98116-3302
(206) 658-8048
(206) 658-8063
Mailing address
905 SPRUCE ST STE 300, SEATTLE, WA 98104-2474
(206) 548-3114
(206) 762-6355
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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