| Eastside Primary Care And Wellness | |
|
50 116th Ave Se Ste 111 Bellevue WA 98004-6436 | |
| (425) 467-1314 | |
| (425) 458-3102 |
| Full Name | Eastside Primary Care And Wellness |
|---|---|
| Speciality | Family Medicine |
| Location | 50 116th Ave Se Ste 111, Bellevue, Washington |
| Authorized Official Name and Position | Sunshine Vanrensum (OFFICE MANAGER) |
| Authorized Official Contact | 4254671314 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastside Primary Care And Wellness 50 116th Ave Se Ste 111 Bellevue WA 98004-6436 Ph: (425) 467-1314 | Eastside Primary Care And Wellness 50 116th Ave Se Ste 111 Bellevue WA 98004-6436 Ph: (425) 467-1314 |
| NPI Number | 1770746505 |
|---|---|
| Provider Enumeration Date | 07/02/2008 |
| Last Update Date | 09/29/2023 |
| Medicare PECOS PAC ID | 2163584194 |
|---|---|
| Medicare Enrollment ID | O20081229000237 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770746505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ho Sun H Suh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407878416 PECOS PAC ID: 2769490481 Enrollment ID: I20060322000574 |
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