Tubman Center For Health & Freedom
Clinic/Center, Multi-Specialty in Seattle, WA. Organization (NPI-2).
NPI number1013636430
StatusActive
Last updated in NPPESSep 2, 2022
Details
- NPI
- 1013636430
- Entity type
- Organization (NPI-2)
- Legal business name
- Tubman Center For Health & Freedom
- Organization subpart
- No
- Enumeration date
- Aug 29, 2022
- Certification date
- Aug 29, 2022
- Last updated
- Sep 2, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
| 251J00000X | Nursing Care | – | – | |
| 251S00000X | Community/Behavioral Health | – | – | |
| 261QC1500X | Clinic/Center, Community Health | – | – | |
| 261QH0100X | Clinic/Center, Health Services | – | – | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – | |
| 261QS1000X | Clinic/Center, Student Health | – | – | |
| 363LS0200X | Nurse Practitioner, School | – | – |
Practice location
5907 Martin Luther King Jr Way SSeattle, WA 98118-2625
Phone 206-702-8101
Mailing address
Po Box 18612Seattle, WA 98118-0612
Authorized official
Lauren Blackham
Naturopathic Physician
2067028101
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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