Organization
GREENLAKE PLACE PC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN I. GREENE (ADMINISTRATOR)
(206) 528-2663
Entity
Organization
Contact information
Practice address
6800 EAST GREENLAKE WAY N, #200, SEATTLE, WA 98115
(206) 524-5656
(206) 524-2841
Mailing address
6800 EAST GREENLAKE WAY N, #200, SEATTLE, WA 98115
(206) 524-5656
(206) 524-2841
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/08/2006
Last updated
03/22/2011
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