# HEALOGICS SPECIALTY PHYSICIANS OF WASHINGTON, PLLC

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

## Provider details

- **NPI number:** 1134599897
- **Authorized official:** CHARLEEN ISE MD (OWNER/PRESIDENT)
- **Authorized official phone:** (855) 689-5105

## Contact information

- **Practice address:** 800 W 5TH AVE, SPOKANE, WA 99204-2803
- **Practice address phone:** (904) 446-3451
- **Mailing address:** 5220 BELFORT RD, SUITE 130, JACKSONVILLE, FL 32256-6017

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/06/2015
- **Last updated:** 03/03/2020