Organization
SEA-MAR COMMUNITY CENTER
Active
Organization
SEA-MAR COMMUNITY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LETRIANA SANTIAGO (CREDENTIALING SUPERVISOR)
(206) 764-0526
Entity
Organization
Contact information
Practice address
4111 ALDERWOOD MALL BLVD, LYNNWOOD, WA 98036-6765
(425) 616-4100
(425) 616-4115
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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