Organization
U. S. COAST GUARD HEALTH SERVICES/ISC SEATTLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL RALPH WADDINGHAM PA (MEDICAL OFFICER)
(206) 217-6436
Entity
Organization
Contact information
Practice address
1519 ALASKAN WAY S, SEATTLE, WA 98134-1102
(206) 217-6436
(206) 217-6636
Mailing address
10019 48TH AVE NE, SEATTLE, WA 98125-8127
(206) 306-9561
(206) 217-6636
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
PA10004424
WA
Other
Enumeration date
02/06/2006
Last updated
08/22/2020
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