| Greenlake Dpc | |
|
6800 E Green Lake Way N Ste 200 Seattle WA 98115-5491 | |
| (206) 524-5656 | |
| (206) 524-2841 |
| Full Name | Greenlake Dpc |
|---|---|
| Speciality | Family Medicine |
| Location | 6800 E Green Lake Way N Ste 200, Seattle, Washington |
| Authorized Official Name and Position | Naomi Busch (MANAGING MEMBER) |
| Authorized Official Contact | 2069146116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenlake Dpc 6800 E Green Lake Way N Ste 200 Seattle WA 98115-5491 Ph: (206) 524-5656 | Greenlake Dpc 6800 E Green Lake Way N Ste 200 Seattle WA 98115-5491 Ph: (206) 524-5656 |
| NPI Number | 1164021077 |
|---|---|
| Provider Enumeration Date | 10/21/2020 |
| Last Update Date | 10/21/2020 |
| Certification Date | 10/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164021077 | NPI | - | NPPES |
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