Organization
SEATTLE ROOTS COMMUNITY HEALTH
Active
Other names
Country Doctor Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE TREPTOW (INTERIM FINANCE DIRECTOR)
(206) 299-1937
Entity
Organization
Contact information
Practice address
2101 E YESLER WAY STE 210, SEATTLE, WA 98122-5959
(206) 299-1984
(206) 299-1920
Mailing address
2101 E YESLER WAY, SUITE 210, SEATTLE, WA 98122-5959
(206) 299-1942
(206) 299-1920
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QC1500X
Community Health Clinic/Center
477569294
WA
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023560
—
WA
Enumeration date
03/30/2007
Last updated
06/05/2025
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