Vital Roots Prof Corp
Vital Roots Prof Corp is a Primary Care Clinic/Center in Seattle, Washington. Licensed in Washington. Registered with an NPI since 2013.
- Licensed in
- WA
- In the registry since
- 2013
What do these letters mean?
- Corp — Corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1225 Dexter Ave NSeattle, WA 98109-3518
Phone: (206) 497-4962
Fax: (206) 316-8655
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X · Licence NT60181111 (WA) |
|---|
Record details
| NPI number | 1366880767 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ryan Campbell — Owner · (614) 738-8256 |
| NPI enumerated | June 6, 2013 |
| Last updated in NPPES | June 6, 2013 |
| Mailing address | 4220 Sw 104th St, Seattle, WA 98146-1065 |
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