Organization
EXPRESS CARE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE PORTER (OWNER)
(310) 400-4484
Entity
Organization
Contact information
Practice address
123 MERCER ST # 201, SEATTLE, WA 98109-4639
(310) 400-4484
Mailing address
415 1ST AVE N UNIT 9581, SEATTLE, WA 98109-4594
(310) 400-4484
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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