Organization
GROUP HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA J VANDEBRAKE (P.T.A.)
(425) 510-3896
Entity
Organization
Contact information
Practice address
11511 NE 10TH ST # 305, BELLEVUE, WA 98004-8578
(425) 502-3896
Mailing address
11511 NE 10TH ST # 305, BELLEVUE, WA 98004-8578
(425) 502-3896
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
07/28/2008
Last updated
07/28/2008
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