MEDICARE: PACMED CLINICS

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
1	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1295776177
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PACMED CLINICS

Provider Business Mailing Address
First Line	:	1101 MADISON ST STE 301
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98104-3599
Country	:	US
Telephone Number	:	206-505-1101
Fax Number	:

Provider Business Practice Location Address
First Line	:	1101 MADISON ST STE 301
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98104-3599
Country	:	US
Telephone Number	:	206-505-1101
Fax Number	:

Authorized Official
Title or Position	:	ASSISTANT SECRETARY FOR ENROLLMENT
Name	:	DONALD WAYNE ANDERSON JR.
Credential	:
Telephone Number	:	425-358-9786

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	07/08/2025

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Directions to “PACMED CLINICS ” Practice Location

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