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Country Doctor Community Clinic — NPI 1639390982, Seattle, WA | NPI Central

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NPI 1639390982

OrganizationActive

Country Doctor Community Clinic

NPI 1639390982 · Clinic Pharmacy · Seattle, WA

Provider details

NPI number: 1639390982
Entity type: Organization
Primary specialty: Clinic PharmacySuppliers
Organization subpart: No
Authorized official: Maria Saucedo, Credentialing Specialist(206) 709-7112
License: CF00004729 (WA)

Specialties & taxonomies

Clinic PharmacyPrimary3336C0002XLicense CF00004729 (WA)
Suppliers

Practice location

510 19th Ave E

Seattle, WA 98112-4095

Phone: (206) 709-7116

Fax: (206) 299-1608

Approximate (ZIP-level) locationGet directions

More WA providers

Mailing address

510 19th Ave E

Seattle, WA 98112-4095

Other names (DBA / former)

Doing business as: Country Doctor Community Clinic Pharmacy

Registry dates

Enumerated: 2007-05-02
Last updated: 2024-01-26
Certified: 2024-01-26

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.