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Organization

PUBLIC HOSPITAL DISTRICT #1 OF KING COUNTY

Active
Other names
VMC Highlands Primary Care
Organization subpart
No

Provider details

NPI number
Authorized official
MELISSA FARLEY CPC (TECHNICAL COORDINATOR)
(425) 917-6282
Entity
Organization

Contact information

Practice address
451 DUVALL AVE NE, SUITE 100, RENTON, WA 98059-4675
(425) 656-5500
(425) 656-5542
Mailing address
3600 LIND AVE SW, SUITE 100, RENTON, WA 98055-4934
(425) 656-5412
(425) 656-5423

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
363AM0700X
Medical Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7127152
WA
Enumeration date
05/28/2006
Last updated
01/15/2008
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