Organization
THE POLYCLINIC PLLC
Active
Parent organization
THE POLYCLINIC PLLC
Other names
Optum Care Washington, Optum Northgate Plaza
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE POLYCLINIC PLLC
Authorized official
CRAIG PEPIN (PHYSICIAN/OWNER)
(206) 860-5414
Entity
Organization
Contact information
Practice address
9709 3RD AVE NE FL 2, SEATTLE, WA 98115-2077
(206) 329-1760
Mailing address
1145 BROADWAY, SEATTLE, WA 98122-4201
(206) 329-1760
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251H1200X
Hand Physical Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/05/2015
Last updated
08/12/2024
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