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Organization

NEIGHBORCARE HEALTH

Active
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Organization

NEIGHBORCARE HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARK SECORD (EXECUTIVE DIRECTOR)
(206) 461-6935
Entity
Organization

Contact information

Practice address
415 N 85TH ST, SEATTLE, WA 98103-3701
(206) 782-8660
(206) 782-8765
Mailing address
905 SPRUCE ST STE 300, SEATTLE, WA 98104-2474
(206) 461-6935
(206) 461-8382

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
50D0712025
CLIA
WA
05
7115983
WA
Enumeration date
07/17/2006
Last updated
09/01/2010
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