# RENAISSANCE CENTER

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

## Provider details

- **NPI number:** 1366884835
- **Authorized official:** MRS. ADRIENNE A GELLERSON (BILLING SPECIALIST)
- **Authorized official phone:** (425) 646-7472

## Contact information

- **Practice address:** 1414 116TH AVE NE STE C, BELLEVUE, WA 98004-3801
- **Practice address phone:** (425) 646-7472
- **Practice address fax:** (425) 453-1123
- **Mailing address:** 1414 116TH AVE NE STE C, BELLEVUE, WA 98004-3801
- **Mailing address phone:** (425) 646-7472
- **Mailing address fax:** (425) 453-1123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | MD00029775 | WA | Yes |

## Other

- **Enumeration date:** 07/24/2013
- **Last updated:** 07/24/2013