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Organization
ISSAQUAH MEDICAL GROUP
Active
Organization
ISSAQUAH MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL P HOURIGAN (ADMINISTRATOR)
(425) 291-9562
Entity
Organization
Contact information
Practice address
450 NW GILMAN BLVD STE 201, ISSAQUAH, WA 98027-2483
(425) 391-0705
(425) 391-9562
Mailing address
450 NW GILMAN BLVD STE 201, ISSAQUAH, WA 98027-2483
(425) 391-0705
(425) 391-9562
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP00000637
WA
Other
Enumeration date
01/29/2007
Last updated
08/22/2020
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