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Organization

SEATTLE INDIAN HEALTH BOARD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ESTHER LUCERO MPP (EXECUTIVE DIRECTOR)
(206) 324-9360
Entity
Organization

Contact information

Practice address
611 12TH AVE S, SEATTLE, WA 98144-1910
(206) 324-9360
(206) 324-8910
Mailing address
611 12TH AVE S, SEATTLE, WA 98144-1910
(206) 324-9360
(206) 324-8910

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
600440936
WA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1980333
WA
Enumeration date
02/02/2007
Last updated
03/12/2021
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