# ISSAQUAH WOMEN'S AND FAMILY CLINIC, PLLC

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

## Provider details

- **NPI number:** 1316295512
- **Authorized official:** MARIA C HOLMES MD (OWNER)
- **Authorized official phone:** (425) 651-4338

## Contact information

- **Practice address:** 22500 SE 64TH PL, SUITE 120, ISSAQUAH, WA 98027-8111
- **Practice address phone:** (425) 651-4338
- **Practice address fax:** (425) 651-4388
- **Mailing address:** 22500 SE 64TH PLACE, SUITE 120, ISSAQUAH, WA 98027-8111
- **Mailing address phone:** (425) 651-4338
- **Mailing address fax:** (425) 651-4388

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD60004074 | WA | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | MD00037841 | WA | — |

## Other

- **Enumeration date:** 08/17/2012
- **Last updated:** 09/06/2012