Organization
SEA MAR COMMUNITY HEALTH CENTERS
Active
Other names
Sea-Mar Community Health Center, Sea Mar CHC Puyallup Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BARTOLO (EXECUTIVE VICE PRESIDENT)
(206) 763-5277
Entity
Organization
Contact information
Practice address
10217 125TH STREET CT E FL 2, PUYALLUP, WA 98374-2761
(253) 864-4550
(253) 864-4558
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
6005372781
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021994
—
WA
05
—
7104466
—
WA
05
—
7123813
—
WA
Enumeration date
01/05/2007
Last updated
02/26/2025
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