| NPI | 1457895740 |
|---|---|
| Other Name | SEA MAR CHC TACOMA 11TH ST MEDICAL |
| Entity Type | Organization |
| Authorized Contact | MARY BARTOLO Executive Vice President 206-764-3335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207QA0505X Family Medicine, Adult Medicine | |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| 207R00000X Internal Medicine | |
| 207RS0010X Internal Medicine, Sports Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 208D00000X General Practice | |
| 363A00000X Physician Assistant | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| 363LW0102X Nurse Practitioner, Women's Health | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology | |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2023-08-23 |