Organization
SEA MAR COMMUNITY HEALTH CENTERS
Active
Other names
Sea Mar CHC Washougal MSS - Independent Mobile Site, Sea-Mar Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BARTOLO (EXECUTIVE VICE PRESIDENT)
(206) 992-6367
Entity
Organization
Contact information
Practice address
1702 C ST, WASHOUGAL, WA 98671-2334
(360) 852-9092
(360) 397-4368
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(253) 681-6601
(253) 681-6641
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
171M00000X
Case Manager/Care Coordinator
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/21/2019
Last updated
01/31/2025
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