Eastside Medicine Ps | |
18920 Bothell Way Ne Suite 203 Bothell WA 98011-1981 | |
(425) 318-4848 | |
(786) 975-2643 |
Full Name | Eastside Medicine Ps |
---|---|
Speciality | Family Medicine |
Location | 18920 Bothell Way Ne, Bothell, Washington |
Authorized Official Name and Position | Harry Pepe (OWNER) |
Authorized Official Contact | 4253184848 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Eastside Medicine Ps 18920 Bothell Way Ne Suite 203 Bothell WA 98011-1981 Ph: (425) 318-4848 | Eastside Medicine Ps 18920 Bothell Way Ne Suite 203 Bothell WA 98011-1981 Ph: (425) 318-4848 |
NPI Number | 1679757405 |
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Provider Enumeration Date | 12/28/2007 |
Last Update Date | 12/28/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679757405 | NPI | - | NPPES |
8120255 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD00026250 (Washington) | Primary |
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