# QLIANCE MEDICAL GROUP OF WA

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

## Provider details

- **NPI number:** 1508182692
- **Authorized official:** DR. GARRISON BLISS MD (CHIEF MEDICAL OFFICER)
- **Authorized official phone:** (206) 381-3030

## Contact information

- **Practice address:** 521 2ND PL N, SUITE 103, KENT, WA 98032-4537
- **Practice address phone:** (253) 478-4900
- **Practice address fax:** (253) 478-4810
- **Mailing address:** 999 3RD AVE, SUITE 810, SEATTLE, WA 98104-4019
- **Mailing address phone:** (206) 381-3030
- **Mailing address fax:** (206) 381-3035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 04/14/2010
- **Last updated:** 04/14/2010