institution
Country Doctor Community Clinic
Community Health Clinic/Center in Seattle, Washington
NPI 1891343075

Country Doctor Community Clinic is a Community Health Clinic/Center based in Seattle, WA and is specialized in Community Health. Country Doctor Community Clinic practices in Seattle, WA. The NPI Number for Country Doctor Community Clinic is 1891343075 and holds a License No. (Washington).

The current practice location address for Country Doctor Community Clinic is 1621 S Jackson St Ste 201, Seattle, WA and can be reached out via phone at 206-299-1900 and via fax at 206-299-1900.

Location: 1621 S Jackson St Ste 201, Seattle, WA, 98122-5959
institution
Provider Profile Details
NPI Number
1891343075
Provider Name
Country Doctor Community Clinic
Credential
Provider Entity Type
Organization
Address
1621 S Jackson St Ste 201, Seattle, WA, 98122-5959
Phone Number
206-299-1900
Fax Number
206-299-1900
Provider Enumeration Date
08/30/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
UBI601583685 01 WA DEPARTMENT OF REVENUE
institution
Provider Business Practice Location Address Details
Address
1621 S Jackson St Ste 201
City
State
Zip
98144-2277
Phone Number
206-299-1900
Fax Number
206-299-1900
person
Provider Business Mailing Address Details
Address
1621 S Jackson St Ste 201
City
State
Zip
98144-2277
Phone Number
206-299-1900
Fax Number
206-299-1900
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Community Health
Taxonomy
License No.
()
Definition
Definition to come...
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