Organization
SHORELINE COMMUNITY COLLEGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STUART A T TRIPPEL (ACTING VICE PRESIDENT FOR ADMINISTR)
(206) 546-4532
Entity
Organization
Contact information
Practice address
16101 GREENWOOD AVE N, BLDG #2500, SHORELINE, WA 98133-5696
(206) 546-4711
(206) 546-5830
Mailing address
16101 GREENWOOD AVE N, BLDG #2500, SHORELINE, WA 98133-5696
(206) 546-4711
(206) 546-5830
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/01/2007
Last updated
08/01/2007
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