Healthcare Provider Details
I. General information
NPI: 1720914443
Provider Name (Legal Business Name): GATEWAY URGENT CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10767 16TH AVE SW
SEATTLE WA
98146-2002
US
IV. Provider business mailing address
10767 16TH AVE SW
SEATTLE WA
98146-2002
US
V. Phone/Fax
- Phone: 206-981-1035
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MOHAMUD
HASSAN
Title or Position: DNP
Credential:
Phone: 206-981-1035