COUNTRY DOCTOR COMMUNITY CLINIC NPI 1164642278

NPI Information

COUNTRY DOCTOR COMMUNITY CLINIC is a community health clinic center in Seattle, WA. COUNTRY DOCTOR COMMUNITY CLINIC NPI is 1164642278. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Carolyn Downs Familly Medical Center.

The provider's business location address is:

2101 E YESLER WAY
SUITE 150
SEATTLE, WA
ZIP 98122-959
Phone: (206) 299-1984
Fax: (206) 299-1920

The provider's authorized official is Linda M Mcveigh .
The authorized official title is Executive Director and has the following contact phone number (206) 299-1628.

The enumeration date for this NPI number is 4/30/2007 and was last updated on 10/31/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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