| Sequoia Project Pllc | |
|
3216 Ne 45th Pl Ste 301 Seattle WA 98105-4028 | |
| (206) 339-3360 | |
| (206) 212-1100 |
| Full Name | Sequoia Project Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3216 Ne 45th Pl Ste 301, Seattle, Washington |
| Authorized Official Name and Position | Audrey Young (OWNER) |
| Authorized Official Contact | 2063393360 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sequoia Project Pllc 3216 Ne 45th Pl Ste 301 Seattle WA 98105-4028 Ph: (206) 339-3360 | Sequoia Project Pllc 3216 Ne 45th Pl Ste 301 Seattle WA 98105-4028 Ph: (206) 339-3360 |
| NPI Number | 1174367395 |
|---|---|
| Provider Enumeration Date | 06/21/2024 |
| Last Update Date | 08/16/2024 |
| Medicare PECOS PAC ID | 3678011004 |
|---|---|
| Medicare Enrollment ID | O20240816002185 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174367395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Audrey J Young Crissman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982761110 PECOS PAC ID: 9739153867 Enrollment ID: I20040824000533 |
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