Organization
PRIMARY CARE CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KY VAN TRAN M.D. (PRESIDENT)
(206) 721-2349
Entity
Organization
Contact information
Practice address
4203 RAINIER AVE S, SUITE C, SEATTLE, WA 98118-1390
(206) 721-2349
(206) 723-4321
Mailing address
4203 RAINIER AVE S, SUITE C, SEATTLE, WA 98118-1390
(206) 721-2349
(206) 723-4321
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
252-09 MD0023508
WA
Other
Enumeration date
11/14/2010
Last updated
11/14/2010
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