# EASTSIDE PULMONARY ASSOCIATES INC PS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083817936
- **Authorized official:** DR. BARRY LYON MARMORSTEIN M.D. (PHYSICIAN)
- **Authorized official phone:** (425) 761-6401

## Contact information

- **Practice address:** 919 109TH AVE NE, BELLEVUE, WA 98004-4485
- **Practice address phone:** (425) 646-3993
- **Practice address fax:** (425) 453-8274
- **Mailing address:** PO BOX 88, RONALD, WA 98940-0088
- **Mailing address phone:** (425) 761-6401
- **Mailing address fax:** (509) 674-6896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | MD00013991 | WA | Yes |

## Other

- **Enumeration date:** 06/07/2007
- **Last updated:** 01/03/2012