| 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 |
|---|---|
| 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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