Eastside Medicine Ps in Bothell - Family Medicine
Eastside Medicine Ps - NPI 1679757405
Eastside Medicine Ps is a Family Medicine in Bothell, Washington. Eastside Medicine Ps practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Eastside Medicine Ps is 1679757405. The last update date is 2007-12-28.
Eastside Medicine Ps's current location address is 18920 Bothell Way Ne, Bothell, Washington. You can contact this provider via phone number 4253184848 and fax number 7869752643. The mailing address for Eastside Medicine Ps is 18920 Bothell Way Ne, Bothell, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eastside Medicine Ps |
|---|---|
| Address | 18920 Bothell Way Ne, Bothell, Washington |
| Phone Number | 4253184848 |
| Fax Number | 7869752643 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Pepe Harry |
| Credentials | MD |
| Telephone Number | 4253184848 |
NPI Number Detail
| NPI Number | 1679757405 |
|---|---|
| Provider Enumeration Date | 2007-12-28 |
| Last Updated Date | 2007-12-28 |
Provider Mailing Address Detail
| Address | 18920 Bothell Way Ne |
|---|---|
| City | Bothell |
| State | Washington (WA) |
| Post Code | 980111981 |
| Phone Number | 4253184848 |
| Fax Number | 7869752643 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MD00026250 |
|
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8120255 | WA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Eastside Medicine Ps by the Centers for Medicare & Medicaid Services?
The Eastside Medicine Ps has been issued the NPI (National Provider Identifier) 1679757405. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Eastside Medicine Ps located?
The Eastside Medicine Ps is located at 18920 Bothell Way Ne, Bothell, WA 980111981.
What is Eastside Medicine Ps's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Eastside Medicine Ps's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
When did Eastside Medicine Ps receive its 1679757405 assignment?
The Eastside Medicine Ps was assigned its 1679757405 on 2007-12-28, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Eastside Medicine Ps, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Eastside Medicine Ps, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-12-28.
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