The Polyclinic PLLC
Durable Medical Equipment & Medical Supplies in Seattle, WA. Organization (NPI-2).
NPI number1407236367
StatusActive
Last updated in NPPESMay 13, 2024
Details
- NPI
- 1407236367
- Entity type
- Organization (NPI-2)
- Legal business name
- The Polyclinic PLLC
- Organization subpart
- Yes
- Enumeration date
- Jun 5, 2015
- Certification date
- May 13, 2024
- Last updated
- May 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
| 207K00000X | Allergy & Immunology | – | – | |
| 207N00000X | Dermatology | – | – | |
| 207Q00000X | Family Medicine | – | – | |
| 207R00000X | Internal Medicine | – | – | |
| 207RR0500X | Internal Medicine, Rheumatology | – | – |
Other names
- Optum - Madison Center (Doing Business As)
Practice location
509 Olive WaySuite 900
Seattle, WA 98101-1720
Phone 206-329-1760
Mailing address
509 Olive WaySuite 900
Seattle, WA 98101-1720
Phone 206-329-1760
Authorized official
Craig Pepin
Physician/Owner
2068605414
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