Organization
THE POLYCLINIC PLLC
Active
Parent organization
THE POLYCLINIC PLLC
Other names
The Polyclinic SandPoint, Optum Care Washington
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
3216 NE 45TH PL, SUITE 200, SEATTLE, WA 98105-4093
(206) 525-4000
Mailing address
3216 NE 45TH PL, SUITE 200, SEATTLE, WA 98105-4093
(206) 525-4000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/05/2015
Last updated
05/13/2024
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