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NPI Code Detail

MEDICARE: BOYER CHILDREN'S CLINIC

MEDICARE: BOYER CHILDREN'S 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
1251300000XLocal Education Agency (LEA)

General Provider Information

NPI Number : 1760526388
Entity Type Code : Organization
Provider Name (Legal Business Name) : BOYER CHILDREN'S CLINIC
Provider Business Mailing Address
First Line : 1850 BOYER AVE E
Second Line : BOYER CHILDREN'S CLINIC
City : SEATTLE
State : WA
Zip : 98112-2922
Country : US
Telephone Number : 206-325-8477
Fax Number : 206-323-1385
Provider Business Practice Location Address
First Line : 1850 BOYER AVE E
Second Line : BOYER CHILDREN'S CLINIC
City : SEATTLE
State : WA
Zip : 98112-2922
Country : US
Telephone Number : 206-325-8477
Fax Number : 206-323-1385
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MICHAEL STEWART
Credential :
Telephone Number : 206-325-8477
Provider Enumeration Date : 02/16/2007
Last Update Date : 09/23/2010

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Practice Fax: 206-323-1385

Directions to “BOYER CHILDREN'S CLINIC ” Practice Location

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