Organization
PUBLIC HOSPITAL DISTRICT #1 OF KING COUNTY
Active
Other names
VMC Sports Medicine Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FARLEY CPC (TECHNICAL COORDINATOR)
(425) 917-6282
Entity
Organization
Contact information
Practice address
3600 LIND AVE SW, SUITE 170, RENTON, WA 98055-4934
(425) 656-4260
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
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7060353
—
WA
Enumeration date
05/28/2006
Last updated
01/15/2008
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