Eylan Health Inc., P.s. | |
15446 Bel Red Rd Suite 320 Redmond WA 98052-5501 | |
(425) 867-9700 | |
(425) 867-5300 |
Full Name | Eylan Health Inc., P.s. |
---|---|
Speciality | Internal Medicine |
Location | 15446 Bel Red Rd, Redmond, Washington |
Authorized Official Name and Position | Andrea Adelyne Marshall (OWNER) |
Authorized Official Contact | 4258679700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Eylan Health Inc., P.s. 15446 Bel Red Rd Suite 320 Redmond WA 98052-5501 Ph: (425) 867-9700 | Eylan Health Inc., P.s. 15446 Bel Red Rd Suite 320 Redmond WA 98052-5501 Ph: (425) 867-9700 |
NPI Number | 1528450434 |
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Provider Enumeration Date | 03/02/2015 |
Last Update Date | 03/02/2015 |
Medicare PECOS PAC ID | 9032439401 |
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Medicare Enrollment ID | O20150526002573 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528450434 | NPI | - | NPPES |
OP60393947 | Other | WA | WA STATE MEDICAL LICENCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | OP60393547 (Washington) | Primary |
Provider Name | Andrea Adelyne Marshall |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1699096826 PECOS PAC ID: 0941520316 Enrollment ID: I20150526002580 |
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