ST. PAUL MEDICAL CLINIC P.S. NPI 1265750830

NPI Information

ST. PAUL MEDICAL CLINIC, P.S. is a primary care clinic center in Seattle, WA. ST. PAUL MEDICAL CLINIC, P.S. NPI is 1265750830. The provider is registered as an organization entity type.

The provider's business location address is:

510 6TH AVE S
101
SEATTLE, WA
ZIP 98104-877
Phone: (206) 240-0422

The provider's authorized official is Tony Pham .
The authorized official title is Physician/owner and has the following contact phone number (206) 240-0422.

The CLIA number assigned to this NPI record is 50D2007058 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/6/2010 and was last updated on 11/15/2012.

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:

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