Organization
COVID RESPONSE PARTNERS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLER MOORE (DIRECTOR OF OPERATIONS)
(425) 583-9289
Entity
Organization
Contact information
Practice address
2330 14TH AVE E, SEATTLE, WA 98112-2103
(425) 298-6629
(833) 411-4264
Mailing address
2330 14TH AVE E, SEATTLE, WA 98112-2103
(425) 298-6629
(833) 411-4264
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QC1800X
Corporate Health Clinic/Center
—
—
405300000X
Prevention Professional
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225191265
INTERNAL MEDICINE
—
01
—
1700239654
INTERNAL MEDICINE
—
Enumeration date
06/03/2020
Last updated
06/03/2020
Update your record
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