| Mark G. Ochenrider, Pllc | |
|
11903 Ne 128th St Suite B Kirkland WA 98034-7209 | |
| (425) 821-4848 | |
| (425) 821-4847 |
| Full Name | Mark G. Ochenrider, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11903 Ne 128th St, Kirkland, Washington |
| Authorized Official Name and Position | Mark Gordon Ochenrider (OWNER) |
| Authorized Official Contact | 4258214848 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark G. Ochenrider, Pllc 11903 Ne 128th St Suite B Kirkland WA 98034-7209 Ph: (425) 821-4848 | Mark G. Ochenrider, Pllc 11903 Ne 128th St Suite B Kirkland WA 98034-7209 Ph: (425) 821-4848 |
| NPI Number | 1386802007 |
|---|---|
| Provider Enumeration Date | 05/29/2008 |
| Last Update Date | 06/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386802007 | NPI | - | NPPES |
| 1125020 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD00048527 (Washington) | Primary |
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