| |
4200 Aurora Ave N Seattle WA 98103-7308 | |
(206) 629-0611 | |
(206) 620-0622 |
Full Name | |
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Speciality | Family Medicine |
Location | 4200 Aurora Ave N, Seattle, Washington |
Authorized Official Name and Position | Clinton Lee Bliss (OWNER) |
Authorized Official Contact | 2069639646 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4200 Aurora Ave N Seattle WA 98103-7308 Ph: (206) 629-0611 | 4200 Aurora Ave N Seattle WA 98103-7308 Ph: (206) 629-0611 |
NPI Number | 1073079034 |
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Provider Enumeration Date | 02/14/2019 |
Last Update Date | 06/19/2019 |
Identifier | Type | State | Issuer |
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1073079034 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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