| Snoqualmie Ridge Family Medicine | |
|
19129 Se 63rd Pl Issaquah WA 98027-8621 | |
| (425) 957-9075 | |
| Not Available |
| Full Name | Snoqualmie Ridge Family Medicine |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 19129 Se 63rd Pl, Issaquah, Washington |
| Authorized Official Name and Position | Lyndsey Childers Rasmussen (PRESIDENT) |
| Authorized Official Contact | 4259579075 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Snoqualmie Ridge Family Medicine 19129 Se 63rd Pl Issaquah WA 98027-8621 Ph: (425) 957-9075 | Snoqualmie Ridge Family Medicine 19129 Se 63rd Pl Issaquah WA 98027-8621 Ph: (425) 957-9075 |
| NPI Number | 1699811786 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699811786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | WA000P1665 (Washington) | Primary |
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