| Bison Health Llc | |
|
401 Olympia Ave Ne Ste 353 Renton WA 98056-4117 | |
| (206) 948-2582 | |
| Not Available |
| Full Name | Bison Health Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 401 Olympia Ave Ne Ste 353, Renton, Washington |
| Authorized Official Name and Position | Stacey Lee Mertes (ADMINISTRATOR) |
| Authorized Official Contact | 2069482582 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bison Health Llc Po Box 18711 Seattle WA 98118-0711 Ph: (206) 948-2582 | Bison Health Llc 401 Olympia Ave Ne Ste 353 Renton WA 98056-4117 Ph: (206) 948-2582 |
| NPI Number | 1851115505 |
|---|---|
| Provider Enumeration Date | 11/11/2024 |
| Last Update Date | 11/20/2024 |
| Certification Date | 11/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851115505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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