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General NPI Number Information
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NPI Number | 1508989740
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Entity Type | Organization
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Legal Business Name | HARBORVIEW MEDICAL CENTER
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 02/25/2021
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Provider Practice Location Address
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Address Line | 325 9TH AVE
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City | SEATTLE
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State | WA
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Zip | 98104-2499
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Country | US
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Telephone | 206-744-9620
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Fax | 206-744-9852
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Provider Business Mailing Address
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Address Line | PO BOX 34001
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City | SEATTLE
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State | WA
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Zip | 98124-1001
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Country | US
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Telephone | 206-598-1950
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Fax | 206-598-0961
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Authorized Official
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Title or Position | INTERIM CEO
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Name | MS. SOMMER KLEWENO WALLEY
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Credential |
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Telephone | 206-744-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | H-029
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | H-029
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License Number State | WA
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