Provider Demographics
NPI:1043539018
Name:UW CARE CLINIC
Entity Type:Organization
Organization Name:UW CARE CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:OSTERLING
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:206-897-1603
Mailing Address - Street 1:PO BOX 351415
Mailing Address - Street 2:3945 15TH AVE NE
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195-1415
Mailing Address - Country:US
Mailing Address - Phone:206-897-1603
Mailing Address - Fax:206-685-9577
Practice Address - Street 1:3945 15TH AVE NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-6607
Practice Address - Country:US
Practice Address - Phone:206-897-1603
Practice Address - Fax:206-685-9577
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNIVERSITY OF WASHINGTON
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-05-28
Last Update Date:2010-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPSY00002359103TM1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental DisabilitiesGroup - Single Specialty