| Mcdermott Place Medical Clinic | |
|
12736 33rd Ave Ne Suite 200 Seattle WA 98125-4504 | |
| (206) 367-0135 | |
| (206) 367-0150 |
| Full Name | Mcdermott Place Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 12736 33rd Ave Ne, Seattle, Washington |
| Authorized Official Name and Position | Amanda L Langan (PROVIDER ENROLLMENT SPECIALIST) |
| Authorized Official Contact | 2065483114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcdermott Place Medical Clinic 905 Spruce St Ste 300 Seattle WA 98104-2474 Ph: (206) 367-0135 | Mcdermott Place Medical Clinic 12736 33rd Ave Ne Suite 200 Seattle WA 98125-4504 Ph: (206) 367-0135 |
| NPI Number | 1679891402 |
|---|---|
| Provider Enumeration Date | 05/04/2010 |
| Last Update Date | 06/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679891402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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