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NPI Code Detail

MEDICARE: SAFE HARBOR FREE CLINIC

MEDICARE: SAFE HARBOR FREE CLINIC
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
1251V00000XVoluntary or Charitable Agency

General Provider Information

NPI Number : 1750607032
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAFE HARBOR FREE CLINIC
Provider Business Mailing Address
First Line : PO BOX 741
Second Line :
City : STANWOOD
State : WA
Zip : 98292-0741
Country : US
Telephone Number : 425-870-7384
Fax Number :
Provider Business Practice Location Address
First Line : 9631 269TH ST NW
Second Line :
City : STANWOOD
State : WA
Zip : 98292-8071
Country : US
Telephone Number : 425-870-7384
Fax Number :
Authorized Official
Title or Position : BOARD CHAIRMAN
Name : JAMES BRYAN GRIERSON
Credential : MD
Telephone Number : 425-870-7384
Provider Enumeration Date : 04/13/2010
Last Update Date : 04/13/2010

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Directions to “SAFE HARBOR FREE CLINIC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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