Primary Care Clinic, Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

252-09 MD0023508 Issued in WA

Legal business name

PRIMARY CARE CLINIC, INC

Practice address

4203 Rainier Ave S
Suite C
Seattle, WA 98118-1390

Phone

(206) 721-2349

Fax

(206) 723-4321

NPI assigned

Nov 14, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ky Van Tran, M.D.

Title

President

Phone

(206) 721-2349

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289692800000",
    "number": "1780985333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4203 RAINIER AVE S",
            "address_2": "SUITE C",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981181390",
            "telephone_number": "206-721-2349",
            "fax_number": "206-723-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4203 RAINIER AVE S",
            "address_2": "SUITE C",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981181390",
            "telephone_number": "206-721-2349",
            "fax_number": "206-723-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-14",
        "last_updated": "2010-11-14",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "KY",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-721-2349",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "252-09 MD0023508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine M Prieto, MA, CCC-SLP
• Thomas Fulton Prieur
• Carol K Prigge
• Michelle Louise Prihoda, RN, BSN, DNP
• Primary Care Center, LLC.
• Primary Care of Seattle, PLLC
• Primary Care Partners Northwest PS
• Primary Health Care Associates
• Jennifer Nicole Primeau, LMP
• Camille I Primous, CN, LMHCA

• Primary Care Clinic/Center in Seattle, WA
• Providers in Seattle, WA by specialty
• Primary Care Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.