Premise Health of Washington Medical, P.c

NPI #1053698084 in Seattle, Washington

Provider Information

NPI Number: 1053698084
Entity Type: Organization
Organization Name: Premise Health of Washington Medical, P.c
Subpart: Yes (part of a larger organization)
Parent Organization: CHS HEALTH SERVICES
Primary Specialty: General Practice
Enumeration Date: Nov 4, 2011
Last Updated: Aug 15, 2022

Practice Location

Address: 651 N 34TH ST
City: Seattle
State: Washington
ZIP Code: 98103-8846
Phone: (650) 214-6369

Authorized Official

Name: JON LEIZMAN
Title: PRESIDENT
Phone: (216) 479-9063

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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