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Organization

SEATTLE PHYSICAL MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CHRISTINA M DEOLIVEIRA ARNP (OWNER)
(206) 713-4721
Entity
Organization

Contact information

Practice address
2004 FAIRVIEW AVE, SEATTLE, WA 98121-2704
(206) 749-0169
Mailing address
2004 FAIRVIEW AVE, SEATTLE, WA 98121-2704
(206) 749-0169

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
363L00000X
Nurse Practitioner
Primary
AP60410654
WA

Other

Enumeration date
04/02/2013
Last updated
09/12/2013
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