Organization
THE POLYCLINIC
Active
Parent organization
THE POLYCLINIC
Other names
The Polyclinic Northwest Pediatrics
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE POLYCLINIC
Authorized official
LLOYD DAVID (CEO)
(206) 860-4401
Entity
Organization
Contact information
Practice address
11545 15TH AVE NE, SUITE 205, SEATTLE, WA 98125-6358
(206) 364-2010
Mailing address
1145 BROADWAY, SEATTLE, WA 98122-4201
(206) 329-1760
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/05/2015
Last updated
06/05/2015
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