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Organization

SEA MAR COMMUNITY HEALTH CENTERS

Active
Other names
Sea Mar CHC Vancouver Medical Clinic - East Vancouver - Hiddenbrook, Sea-Mar Community Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
MARY BARTOLO (EXECUTIVE VICE PRESIDENT)
(206) 763-5277
Entity
Organization

Contact information

Practice address
19005 SE 34TH ST BLDG 3, VANCOUVER, WA 98683-1450
(360) 726-6720
(360) 726-6729
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
207RR0500X
Rheumatology Physician
207V00000X
Obstetrics & Gynecology Physician
208000000X
Pediatrics Physician
208D00000X
General Practice Physician
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
363L00000X
Nurse Practitioner
363LA2200X
Adult Health Nurse Practitioner
363LF0000X
Family Nurse Practitioner
363LP0200X
Pediatric Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2074563
WA
Enumeration date
06/21/2016
Last updated
02/26/2025
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