Organization
SEA MAR COMMUNITY HEALTH CENTERS
Active
Other names
Sea Mar CHC Vancouver East Vancouver Dental (Hiddenbrook), Sea-Mar Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROGELIO RIOJAS (CEO)
(206) 763-5277
Entity
Organization
Contact information
Practice address
19005 SE 34TH ST BLDG 3, VANCOUVER, WA 98683-1450
(206) 474-2001
(360) 726-6731
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2074562
—
WA
Enumeration date
06/29/2016
Last updated
01/31/2025
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