DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

104TH AVENUE MEDICAL CLINIC INCORPORATED

Active Organization

104TH AVENUE MEDICAL CLINIC INCORPORATED is a Clinic/Center organization located in KENT, Washington. NPI 1396921326 is currently active in the NPPES registry. Verify at CMS.

Clinic/Center · KENT, WA

Registration Details

NPI Number
1396921326
Provider Type
Organization
NPI Issued
Jan 22, 2008 (18.52941922724 yrs)
Last Updated
Oct 1, 2014
License
37861 (WA)

Practice Information

Address
24604 104TH AVE SE
# 202
KENT, WA, 980305385
Browse WA providers · Browse ZIP 98030
Phone
2538598371
Fax
2538599593
Primary Specialty
Clinic/Center
261Q00000X

Other Clinic/Center Organizations in KENT, WA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.