OrganizationActive
Country Doctor Community Clinic
NPI 1639390982 · Clinic Pharmacy · Seattle, WA
Country Doctor Community Clinic is a Clinic Pharmacy organization in Seattle, WA (NPI 1639390982).
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
Suppliers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
510 19th Ave E
Seattle, WA 98112-4095
Phone: (206) 709-7116
Fax: (206) 299-1608
Street-level locationGet directions
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
Frequently asked questions
- What is Country Doctor Community Clinic's NPI number?
- Country Doctor Community Clinic's National Provider Identifier (NPI) is 1639390982, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Country Doctor Community Clinic?
- Country Doctor Community Clinic is classified in the NPPES registry as Clinic Pharmacy (Suppliers).
- Where is Country Doctor Community Clinic located?
- Country Doctor Community Clinic's practice location on file with NPPES is 510 19th Ave E, Seattle, WA 98112-4095.
- What is Country Doctor Community Clinic's phone number?
- The practice phone number listed in the NPPES registry for Country Doctor Community Clinic is (206) 709-7116.
- Who is the authorized official for Country Doctor Community Clinic?
- The authorized official listed on Country Doctor Community Clinic's NPPES record is Maria Saucedo, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Country Doctor Community Clinic's NPI active?
- Yes — Country Doctor Community Clinic's NPI (1639390982) is active in the NPPES registry as of the last update on 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.