Healthcare Provider Details

I. General information

NPI: 1801372768
Provider Name (Legal Business Name): SEA MAR COMMUNITY HEALTH CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2018
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9650 15TH AVE SW SUITE #100
SEATTLE WA
98106
US

IV. Provider business mailing address

1040 S HENDERSON ST
SEATTLE WA
98108-4720
US

V. Phone/Fax

Practice location:
  • Phone: 206-957-4210
  • Fax: 206-957-4211
Mailing address:
  • Phone: 206-763-5277
  • Fax: 206-788-3204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPHAR.CF.60780810
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHAR.CF.60780810
License Number StateWA

VIII. Authorized Official

Name: MR. ROGELIO RIOJAS
Title or Position: CEO
Credential:
Phone: 206-763-5277