Organization · Type 2 NPI

Seattle Indian Health Board

Federally Qualified Health Center (FQHC) · Seattle, WA

NPI number 1154469104 Active

Practice location

611 12th Ave S
Seattle, WA 98144-1910

Fax (206) 324-8910

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400X600440936 (WA)
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405XNone listed

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About NPI 1154469104

Seattle Indian Health Board's National Provider Identifier is 1154469104, issued on Feb 2, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Seattle, WA. The record was last updated on Apr 8, 2022.