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Organization

NEIGHBORCARE HEALTH

Active
Other names
Neighborcare Health at Pacific Tower Dental Clinic, Neighborcare Health at Pacific Tower Dental
Organization subpart
No

Provider details

NPI number
Authorized official
CHARISSE MARSHALL (DIRECTOR OF REVENUE CYCLE)
(206) 548-3102
Entity
Organization

Contact information

Practice address
1200 12TH AVE S STE 401, SEATTLE, WA 98144-2730
(206) 548-5850
(206) 328-4034
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
122300000X
Dentist
600138418
WA
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
600138418
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2062064
WA
Enumeration date
06/01/2016
Last updated
09/10/2025
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