Organization
INTERNATIONAL COMMUNITY HEALTH SERVICES
Active
Other names
International District Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PEGGY PHUNG (ASSISTANT FINANCE MANAGER)
(206) 788-3605
Entity
Organization
Contact information
Practice address
720 8TH AVE S, SUITE 100, SEATTLE, WA 98104-3032
(206) 788-3700
(206) 788-3706
Mailing address
PO BOX 3007, SEATTLE, WA 98114-3007
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7137862
—
WA
Enumeration date
08/16/2007
Last updated
08/16/2007
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