| Totem Lake Family Medicine, Pllc | |
|
11800 Ne 128th St Ste, 560 Kirkland WA 98034-7208 | |
| (425) 899-5200 | |
| (425) 285-3108 |
| Full Name | Totem Lake Family Medicine, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 11800 Ne 128th St, Kirkland, Washington |
| Authorized Official Name and Position | Dale Y. Miyauchi (PARTNER) |
| Authorized Official Contact | 4258995200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Totem Lake Family Medicine, Pllc 11800 Ne 128th St Ste. 560 Kirkland WA 98034-7208 Ph: (425) 899-5200 | Totem Lake Family Medicine, Pllc 11800 Ne 128th St Ste, 560 Kirkland WA 98034-7208 Ph: (425) 899-5200 |
| NPI Number | 1023215514 |
|---|---|
| Provider Enumeration Date | 06/28/2007 |
| Last Update Date | 05/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023215514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | BUS14337 (Washington) | Primary |
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