# NORTHWEST PHYSICAL MEDICINE PS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bellevue Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265701965
- **Authorized official:** DR. RAYMON KOONER MD (OWNER)
- **Authorized official phone:** (425) 455-2225

## Contact information

- **Practice address:** 10655 NE 4TH ST, SUITE 101, BELLEVUE, WA 98004-5035
- **Practice address phone:** (425) 455-2225
- **Mailing address:** 10655 NE 4TH ST, SUITE 101, BELLEVUE, WA 98004-5035
- **Mailing address phone:** (425) 455-2225

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | MD00044383 | WA | Yes |

## Other

- **Enumeration date:** 12/26/2011
- **Last updated:** 05/30/2012