| Madrona Clinics, Pllc | |
|
2825 Eastlake Ave E Ste 115 Seattle WA 98102-3084 | |
| (206) 880-3253 | |
| Not Available |
| Full Name | Madrona Clinics, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2825 Eastlake Ave E Ste 115, Seattle, Washington |
| Authorized Official Name and Position | Micheal Jace Tarver (CEO) |
| Authorized Official Contact | 5642060880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Madrona Clinics, Pllc 2825 Eastlake Ave E Ste 115 Seattle WA 98102-3084 Ph: (564) 206-0880 | Madrona Clinics, Pllc 2825 Eastlake Ave E Ste 115 Seattle WA 98102-3084 Ph: (206) 880-3253 |
| NPI Number | 1114813904 |
|---|---|
| Provider Enumeration Date | 06/17/2025 |
| Last Update Date | 10/06/2025 |
| Certification Date | 10/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114813904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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