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12039 Ne 128th St Ste 300 Kirkland WA 98034-3030 | |
| (425) 899-5350 | |
| (425) 899-5355 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 12039 Ne 128th St, Kirkland, Washington |
| Authorized Official Name and Position | William Howe (CFO) |
| Authorized Official Contact | 4258992606 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 102928 Pasadena CA 91189-2928 Ph: (425) 899-3868 | 12039 Ne 128th St Ste 300 Kirkland WA 98034-3030 Ph: (425) 899-5350 |
| NPI Number | 1265527584 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 11/06/2024 |
| Certification Date | 11/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265527584 | NPI | - | NPPES |
| CJ9678 | Other | WA | MEDICARE RAILROAD |
| CG2833 | Other | WA | MEDICARE RAILROAD |
| CG8137 | Other | WA | MEDICARE RAILROAD |
| 7141351 | Medicaid | WA | |
| 7132525 | Medicaid | WA | |
| CQ2437 | Other | WA | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Ioana Diaconu, Md, Ps Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 Kirkland Way, 200, Kirkland, WA 98033 Phone: 425-889-5045 | |
Timothy A Rogge, Md, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10200 Ne 132nd St, Kirkland, WA 98034 Phone: 425-821-2000 | |
Ryan Q Patterson Ma Lmhc Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11415 Ne 128th St, Suite 30, Kirkland, WA 98034 Phone: 425-205-9332 Fax: 888-232-6779 | |
Lake Counseling & Consulting Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10415 Ne 37th Cir Bldg 4, Kirkland, WA 98033 Phone: 206-590-1331 | |