Recenter Self

Specialty details in registry · Issaquah, WA

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At a glance

310 3Rd Ave Ne Ste 109, Issaquah, WA 98027-3346

NPPES record updated Jul 9, 2020. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
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Insurance participation and appointment availability are not established by these public records.

Practice location

310 3Rd Ave Ne Ste 109
Issaquah, WA 98027-3346
Professional details: NPI, taxonomy & registry record
NPI1619595311
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
101Y00000X
Enumeration date
Jul 9, 2020
Record updated
Jul 9, 2020
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

101Y00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

310 3Rd Ave Ne Ste 109
Issaquah, WA 98027-3346
Phone
(206) 437-0178
Mailing address
310 3RD AVE NE STE 109

ISSAQUAH, WA 980273346
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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