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Organization

SEATTLE-KING COUNTY DEPT OF PUBLIC HEALTH

Active
Parent organization
KING COUNTY EXECUTIVE
Organization subpart
Yes

Provider details

NPI number
Legal business name
KING COUNTY EXECUTIVE
Authorized official
KEVIN ARDELL MOE (PRACTICE MANAGEMENT ADMINISTRATOR)
(206) 263-8807
Entity
Organization

Contact information

Practice address
500 5TH AVE, SEATTLE, WA 98104-2332
(206) 205-2400
Mailing address
400 YESLER WAY STE 300, SEATTLE, WA 98104-2615
(206) 205-5975

Taxonomy

Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
3336C0002X
Clinic Pharmacy
Primary
FO00055849
WA

Other

Enumeration date
11/28/2006
Last updated
05/01/2026
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