Organization
SEA MAR COMMUNITY HEALTH CENTERS
Active
Other names
Sea Mar CHC Vancouver Medical Clinic - Delaware, Sea-Mar Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BARTOLO (EXECUTIVE VICE PRESIDENT)
(206) 763-5277
Entity
Organization
Contact information
Practice address
7410 DELAWARE LN, VANCOUVER, WA 98664-1408
(360) 566-4402
(360) 566-4406
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
6005372781
WA
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013043
—
WA
Enumeration date
01/05/2007
Last updated
02/26/2025
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