Organization
SITARA MEDICAL INC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SYED HADI JAFAR MD (OWNER)
(425) 802-2861
Entity
Organization
Contact information
Practice address
14841 179TH AVE SE STE 210, MONROE, WA 98272-1127
(425) 802-2861
Mailing address
14340 SE 87TH PL, NEWCASTLE, WA 98059-3429
(425) 802-2861
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1120922
—
WA
Enumeration date
07/30/2007
Last updated
07/01/2008
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