Provider Demographics
NPI:1619287257
Name:SEATTLE UC, INC., P.S.
Entity Type:Organization
Organization Name:SEATTLE UC, INC., P.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:STHAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:828-284-3096
Mailing Address - Street 1:610 1ST AVENUE NORTH
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-4001
Mailing Address - Country:US
Mailing Address - Phone:206-569-4443
Mailing Address - Fax:206-973-3032
Practice Address - Street 1:610 1ST AVENUE NORTH
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-4001
Practice Address - Country:US
Practice Address - Phone:206-569-4443
Practice Address - Fax:206-973-3032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-18
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care