Organization
PUGET SOUND NEIGHBORHOOD HEALTH CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SECORD (EXECUTIVE DIRECTOR)
(206) 461-6935
Entity
Organization
Contact information
Practice address
201 16TH AVE E, MS CWB2, SEATTLE, WA 98112-5226
(206) 324-1449
(206) 324-6977
Mailing address
905 SPRUCE ST, SEATTLE, WA 98104-2474
(206) 461-6935
(206) 461-8382
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7123540
—
WA
Enumeration date
05/07/2007
Last updated
08/22/2020
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