Organization
SEA MAR COMMUNITY HEALTH CENTERS
Active
Other names
Sea Mar CHC Tillicum Medical, Sea-Mar Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BARTOLO (EXECUTIVE DIRECTOR)
(206) 763-5277
Entity
Organization
Contact information
Practice address
14916 WASHINGTON AVE SW, LAKEWOOD, WA 98498-2271
(253) 280-9890
(253) 582-0273
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QA0505X
Adult Medicine Physician
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RS0010X
Sports Medicine (Internal Medicine) Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
6005372781
WA
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2081426
—
WA
Enumeration date
07/31/2014
Last updated
02/26/2025
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