Organization
NEIGHBORCARE HEALTH
Active
Other names
Neighborcare Health at Lake City
Organization subpart
No
Provider details
NPI number
Authorized official
CHARISSE MARSHALL (DIRECTOR OF REVENUE CYCLE)
(206) 548-3102
Entity
Organization
Contact information
Practice address
12721 30TH AVE NE, STE 101, SEATTLE, WA 98125-4498
(206) 417-0326
(206) 417-0783
Mailing address
1200 12TH AVE S STE 901, SEATTLE, WA 98144-2712
(206) 548-3114
(206) 962-2342
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2023330
—
WA
01
—
501965
CMS CERTIFICATION
WA
Enumeration date
10/03/2012
Last updated
09/10/2025
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