Country Doctor Community Clinic

NPI #1881885549 in Seattle, Washington

Provider Information

NPI Number
1881885549
Entity Type
Organization
Organization Name
Country Doctor Community Clinic
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Aug 7, 2007
Last Updated
Jun 25, 2008

Practice Location

Address
2101 E YESLER WAY
Address 2
SUITE 150
ZIP Code
98122-5959
Phone
(206) 299-1900

Authorized Official

Name
SHONNIE EVANS
Title
QI MANAGER
Phone
(206) 299-1984

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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