Organization
PUBLIC HOSPITAL DISTRICT #1 OF KING COUNTY
Active
Other names
VMC NewCastle Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FARLEY CPC (TECHNICAL COORDINATOR)
(425) 917-6282
Entity
Organization
Contact information
Practice address
7203 129TH AVE SE, SUITE 100, NEWCASTLE, WA 98056-1412
(425) 656-5406
Mailing address
3600 LIND AVE SW, SUITE 100, RENTON, WA 98055-4934
(425) 656-5412
(425) 656-5423
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
207QA0505X
Adult Medicine Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7071012
—
WA
Enumeration date
05/28/2006
Last updated
01/15/2008
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