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MARKET STREET CLINIC
NPI 1821213612
General Practice in Seattle, WA

Active since April 16, 2007
1717 NW MARKET ST, SEATTLE, WA 98107(206) 782-0500(206) 782-0502 Get Directions Write a Review

NPPES record last updated: July 14, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Market Street Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARKET STREET CLINIC (NPI 1821213612) is a healthcare organization registered as a general practice in Seattle, Washington and active in the NPI registry since April 2007. The organization lists Thomas Carl Gustafson, Physician, as its authorized official.

NPPES Registry Identity

NPI1821213612
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameTHOMAS C GUSTAFSON
Location Address1717 NW MARKET STSeattle, WA 98107-5225
Mailing Address1717 Nw Market StSeattle, WA 98107-5225 · (206) 782-0500 · Fax (206) 782-0502
Phone(206) 782-0500
Fax(206) 782-0502
Organization SubpartNo
Authorized OfficialThomas Carl GustafsonPhysician · (206) 782-0500
Enumeration DateApril 16, 2007
Last NPPES UpdateJuly 14, 2008
✔ NPI 1821213612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in WA · OP00001187
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP30007148 (WA)
1717 NW MARKET ST, Seattle, WA 98107
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Other Names 1

Doing Business AsMarket Street Clinic

Other Identifiers 5

Medicare UPINB18175WA
Medicare UPINQ57239WA
Medicare ID-Type UnspecifiedGAB20109WA · Dr. Gustafson's Medicare
Medicaid9647421WA
Medicaid1046325WA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THOMAS CARL GUSTAFSON D.O.
Family Medicine
1717 NW MARKET ST
SEATTLE, WA 98107
King County (206) 782-0500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas C Gustafson's NPI number?

The NPI number for Thomas C Gustafson is 1821213612. It was assigned to this organization in the NPPES registry on April 16, 2007. The provider is doing business as Market Street Clinic.

Where is Thomas C Gustafson located?

Thomas C Gustafson is located at 1717 NW Market St, Seattle, WA 98107. The listed phone number is (206) 782-0500.

What is Thomas C Gustafson's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Thomas C Gustafson was last updated on July 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.