Organization · Type 2 NPI

Premise Health of Washington Medical, P.c

General Practice Physician · Seattle, WA

NPI number 1053698084 Active

Practice location

651 N 34th St
Seattle, WA 98103-8846

Call (650) 214-6369 Map

Mailing address

5500 Maryland Way, Suite 400
Brentwood, TN 37027-4948

Specialties and licenses

Taxonomy	Code	License
General Practice Physician Primary	208D00000X	None listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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NPI record

NPI: 1053698084
Entity type: Organization (Type 2)
Issued: Nov 4, 2011
Last updated: Aug 15, 2022
Status: Active
Subpart: Yes of CHS Health Services

Other names

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Google Wellness Center · doing business as
Google Wellness Center · doing business as

Authorized official

Jon Leizman
President
(216) 479-9063

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1053698084

Premise Health of Washington Medical, P.c's National Provider Identifier is 1053698084, issued on Nov 4, 2011. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Seattle, WA. The record was last updated on Aug 15, 2022.