Organization
NEIGHBORCARE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SECORD (EXECUTIVE DIRECTOR)
(206) 461-6935
Entity
Organization
Contact information
Practice address
9245 RAINIER AVE S, SEATTLE, WA 98118-4655
(206) 722-8444
(206) 721-6310
Mailing address
905 SPRUCE ST, STE. 300, SEATTLE, WA 98104-2474
(206) 461-6935
(206) 461-8382
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7901242
—
WA
Enumeration date
05/07/2007
Last updated
09/06/2012
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