Organization
HIGHLINE MEDICAL GROUP
Active
Other names
Roxbury Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
VICKIE D JIMENEZ (DIRECTOR OF OPERATIONS)
(206) 439-4887
Entity
Organization
Contact information
Practice address
9635 17TH AVE SW, SEATTLE, WA 98106-2712
(206) 763-5057
(206) 763-5241
Mailing address
9635 17TH AVE SW, SEATTLE, WA 98106-2712
(206) 763-5057
(206) 763-5241
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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