Organization
SEATTLE EXTRACORPOREAL
Active
Parent organization
NO
Other names
Virginia Mason Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
NO
Authorized official
MR. RAY LEE JOHNSON CCP (CLINICAL PERFUSIONIST)
(206) 939-9898
Entity
Organization
Contact information
Practice address
925 SENECA STREET, SEATTLE EXTRACORPOREAL, SEATTLE, WA 98101
(206) 223-6600
Mailing address
4446 88TH AVE SE, MERCER ISLAND, WA 98040-4148
(206) 939-9898
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
819241
WA
Other
Enumeration date
04/21/2016
Last updated
04/21/2016
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