NPI 1376590026

Public Hospital District #1 of King County

Organisation Adult Medicine Physician Kent, WA

Practice location

Address: 24920 104th Ave SE, Kent, WA 98030-6443
Phone: (253) 395-2000
Fax: (253) 395-1956
Mailing address: 3600 Lind Ave SW Suite 100, Renton, WA 98055-4934

Authorised official

Name: Melissa Farley
Title: Technical Coordinator
Phone: (425) 917-6282

Registered specialties (5)

Adult Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207QA0505X

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Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

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Psychologist

Behavioral Health & Social Service Providers Taxonomy 103T00000X

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Marriage & Family Therapist

Behavioral Health & Social Service Providers Taxonomy 106H00000X

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Medical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X

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Registry record

NPI: 1376590026
Entity type: Organization
NPI issued: 28 May 2006
Record last updated: 15 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.