QUEEN ANNE FAMILY MEDICINE INC PS NPI 1679663967

NPI Information

NPI: 1679663967
Provider Name: QUEEN ANNE FAMILY MEDICINE INC PS
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1915 QUEEN ANNE AVE N
SEATTLE, WA
ZIP 98109
Phone: (206) 284-6132
Get Directions

QUEEN ANNE FAMILY MEDICINE INC PS is a family medicine in Seattle, WA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. QUEEN ANNE FAMILY MEDICINE INC PS NPI is 1679663967. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1915 QUEEN ANNE AVE N
SEATTLE, WA
ZIP 98109-549
Phone: (206) 284-6132
Fax: (206) 284-2566

The provider's authorized official is Bruce Gardner .
The authorized official title is Owner and has the following contact phone number (206) 284-6132.

The enumeration date for this NPI number is 10/15/2006 and was last updated on 6/21/2018.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine			WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7108426	MEDICAID	WASHINGTON
2	=========	OTHER	WASHINGTON	COMMERICAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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