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Organization
RENAISSANCE CENTER
Active
Organization
RENAISSANCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ADRIENNE A GELLERSON (BILLING SPECIALIST)
(425) 646-7472
Entity
Organization
Contact information
Practice address
1414 116TH AVE NE STE C, BELLEVUE, WA 98004-3801
(425) 646-7472
(425) 453-1123
Mailing address
1414 116TH AVE NE STE C, BELLEVUE, WA 98004-3801
(425) 646-7472
(425) 453-1123
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
MD00029775
WA
Other
Enumeration date
07/24/2013
Last updated
07/24/2013
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