Organization
MINOR & JAMES MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES C MARTIN MD (CMO)
(206) 386-9500
Entity
Organization
Contact information
Practice address
515 MINOR AVE, SEATTLE, WA 98104-2120
(206) 386-9500
(206) 386-9605
Mailing address
PO BOX 26947, SALT LAKE CITY, UT 84126-0947
(206) 386-9500
(206) 386-9605
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
144182
L&I LABORATORY
—
01
—
163569
L&I ASC
—
01
—
215831
L&I ASC/FHSC
WA
01
—
501034
MEDICARE/ASC CERT
—
01
—
5891740001
DME
WA
05
—
7022544
—
WA
01
—
7027352
MEDICAID ASC
—
01
—
7136872
AUDIOLOGY MEDICAID
WA
01
—
7139439
MEDICARE ASC/FHSC
WA
01
—
78900
LI
WA
01
—
8901651
L&I CRIME VICTIMS
—
01
—
9060666
MEDICAID HEARING AIDS
WA
01
—
CE1300
PALMETTA GBA /RR MEDICARE
—
Enumeration date
10/26/2005
Last updated
12/01/2014
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