Organization
THE POLYCLINIC PLLC
Active
Parent organization
THE POLYCLINIC PLLC
Other names
Optum Broadway Sleep Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE POLYCLINIC PLLC
Authorized official
CRAIG PEPIN (PHYSICIAN/OWNER)
(206) 860-5414
Entity
Organization
Contact information
Practice address
1414 10TH AVE, SEATTLE, WA 98122-3857
(206) 860-4545
Mailing address
1145 BROADWAY, SEATTLE, WA 98122-4201
(206) 329-1760
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/05/2015
Last updated
05/13/2024
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