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Organization
NORTHWEST PHYSICAL MEDICINE PS
Active
Organization
NORTHWEST PHYSICAL MEDICINE PS
Active
Other names
Bellevue Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMON KOONER MD (OWNER)
(425) 455-2225
Entity
Organization
Contact information
Practice address
10655 NE 4TH ST, SUITE 101, BELLEVUE, WA 98004-5035
(425) 455-2225
Mailing address
10655 NE 4TH ST, SUITE 101, BELLEVUE, WA 98004-5035
(425) 455-2225
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
MD00044383
WA
Other
Enumeration date
12/26/2011
Last updated
05/30/2012
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