Organization
THE POLYCLINIC
Active
Parent organization
THE POLYCLINIC
Other names
The Polyclinic West Seattle
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE POLYCLINIC
Authorized official
LLOYD DAVID (CEO)
(206) 860-4401
Entity
Organization
Contact information
Practice address
3400 CALIFORNIA AVE SW, SUITE 200, SEATTLE, WA 98116-3307
(206) 860-5575
Mailing address
1145 BROADWAY, SEATTLE, WA 98122-4201
(206) 329-1760
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RN0300X
Nephrology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/05/2015
Last updated
06/05/2015
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