Organization
SEA MAR COMMUNITY HEALTH CENTERS
Active
Other names
Sea Mar CHC Aberdeen Medical, Sea-Mar Community Health Center, Sea Mar Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARY E BARTOLO (DEPUTY DIRECTOR)
(206) 763-5277
Entity
Organization
Contact information
Practice address
1813 SUMNER AVE, ABERDEEN, WA 98520-4600
(360) 538-1293
(360) 538-3908
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-3335
(206) 764-0489
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
133VN1005X
Renal Nutrition Registered Dietitian
—
—
133VN1006X
Metabolic Nutrition Registered Dietitian
—
—
174400000X
Specialist
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
600537278
WA
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2004819
—
WA
Enumeration date
12/21/2006
Last updated
02/25/2025
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