Healthcare Provider Details

I. General information

NPI: 1437202249
Provider Name (Legal Business Name): PACMED CLINICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 05/09/2025
Certification Date: 05/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 MADISON ST STE 400
SEATTLE WA
98104-3599
US

IV. Provider business mailing address

1101 MADISON ST STE 400
SEATTLE WA
98104-3599
US

V. Phone/Fax

Practice location:
  • Phone: 206-505-1300
  • Fax:
Mailing address:
  • Phone: 206-505-1300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DONALD WAYNE ANDERSON JR.
Title or Position: ASSISTANT SECREATRY FOR ENROLLMENT
Credential:
Phone: 425-358-9786