Gpc, PLLC
Family Medicine in Seattle, WA. Organization (NPI-2).
NPI number1164021077
StatusActive
Last updated in NPPESOct 21, 2020
Details
- NPI
- 1164021077
- Entity type
- Organization (NPI-2)
- Legal business name
- Gpc, PLLC
- Organization subpart
- No
- Enumeration date
- Oct 21, 2020
- Certification date
- Oct 21, 2020
- Last updated
- Oct 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 208000000X | Pediatrics | – | – | |
| 2084P0804X | Psychiatry & Neurology, Child & Adolescent Psychiatry | – | – | |
| 207R00000X | Internal Medicine | – | – |
Other names
- Greenlake Dpc (Doing Business As)
Practice location
6800 E Green Lake Way N Ste 200Seattle, WA 98115-5491
Phone 206-524-5656 · Fax 206-524-2841
Mailing address
6800 E Green Lake Way N Ste 200Seattle, WA 98115-5491
Phone 206-524-5656 · Fax 206-524-2841
Authorized official
Naomi Busch
Managing Member
2069146116
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