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NPI Code Detail

MEDICARE: SEATTLE UNIVERSITY

MEDICARE: SEATTLE UNIVERSITY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1043632672
Entity Type Code : Organization
Provider Name (Legal Business Name) : SEATTLE UNIVERSITY
Provider Business Mailing Address
First Line : 901 12TH AVE
Second Line :
City : SEATTLE
State : WA
Zip : 98122-4411
Country : US
Telephone Number : 206-296-6150
Fax Number :
Provider Business Practice Location Address
First Line : 116 FAIRVIEW AVE N
Second Line :
City : SEATTLE
State : WA
Zip : 98109-5360
Country : US
Telephone Number : 260-254-1452
Fax Number :
Authorized Official
Title or Position : CFO
Name : CONSTANCE KANTER
Credential :
Telephone Number : 206-296-6150
Provider Enumeration Date : 01/16/2014
Last Update Date : 09/16/2014

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Directions to “SEATTLE UNIVERSITY ” Practice Location

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