Childhaven - Gogerty Branch | |
1345 22nd St Ne Auburn WA 98002-3442 | |
(253) 833-5908 | |
(253) 931-8981 |
Full Name | Childhaven - Gogerty Branch |
---|---|
Speciality | Clinic/center - Student Health |
Location | 1345 22nd St Ne, Auburn, Washington |
Authorized Official Name and Position | Vicki Nino Osby (ASSOCIATE DIRECTOR) |
Authorized Official Contact | 2065974804 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Childhaven - Gogerty Branch 316 Broadway Seattle WA 98122-5325 Ph: (206) 624-6477 | Childhaven - Gogerty Branch 1345 22nd St Ne Auburn WA 98002-3442 Ph: (253) 833-5908 |
NPI Number | 1114040755 |
---|---|
Provider Enumeration Date | 04/09/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114040755 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QS1000X | Clinic/center - Student Health | 19349 (Washington) | Primary |
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