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Specialty details in registry · Bonney Lake, WA
At a glance
18306 104Th Street Ct E, Bonney Lake, WA 98391-6040
NPPES record updated Oct 21, 2024. Public records can lag behind changes at a practice.
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- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
18306 104Th Street Ct EBonney Lake, WA 98391-6040
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 311ZA0620X
- Enumeration date
- Oct 21, 2024
- Record updated
- Oct 21, 2024
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
311ZA0620X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
18306 104Th Street Ct EBonney Lake, WA 98391-6040
- Phone
- (206) 657-6121
Mailing address
18206 108TH STREET CT EBONNEY LAKE, WA 983916057
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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