Organization
UNIVERSITY OF WASHINGTON GPR
Active
Parent organization
UNIVERSITY OF WASHINGTON
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF WASHINGTON
Authorized official
MR. ROBERT RUSSELL (MANAGER, PATIENT ACCOUNTS)
(206) 616-8794
Entity
Organization
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 616-8794
Mailing address
1959 NE PACIFIC ST, P.O. BOX 357131, SEATTLE, WA 98195-0001
(206) 616-8794
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/16/2007
Last updated
08/16/2007
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