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Organization
QLIANCE MEDICAL GROUP OF WA
Active
Organization
QLIANCE MEDICAL GROUP OF WA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARRISON BLISS MD (CHIEF MEDICAL OFFICER)
(206) 381-3030
Entity
Organization
Contact information
Practice address
521 2ND PL N, SUITE 103, KENT, WA 98032-4537
(253) 478-4900
(253) 478-4810
Mailing address
999 3RD AVE, SUITE 810, SEATTLE, WA 98104-4019
(206) 381-3030
(206) 381-3035
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
04/14/2010
Last updated
04/14/2010
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