| Seattle Primary Care, PS | |
|
1530 N 115th St Suite 104 Seattle WA 98133-8411 | |
| (206) 368-1311 | |
| Not Available |
| Full Name | Seattle Primary Care, PS |
|---|---|
| Speciality | Internal Medicine |
| Location | 1530 N 115th St, Seattle, Washington |
| Authorized Official Name and Position | Sam R Taagen (PRESIDENT) |
| Authorized Official Contact | 2063681311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seattle Primary Care, PS 1530 N 115th St Suite 104 Seattle WA 98133-8411 Ph: (206) 368-1311 | Seattle Primary Care, PS 1530 N 115th St Suite 104 Seattle WA 98133-8411 Ph: (206) 368-1311 |
| NPI Number | 1669698031 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 10/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669698031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD00041216 (Washington) | Primary |
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