Individual
DR. ERIC ANDREW EISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1231 116TH AVE NE STE 930, BELLEVUE, WA 98004-3804
(425) 688-1916
(425) 688-1901
Mailing address
1231 116TH AVE NE STE 930, BELLEVUE, WA 98004-3804
(425) 688-1916
(425) 688-1901
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD61047604
WA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
MD61047604
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2160928
—
WA
01
—
427413
WA L&I
WA
Enumeration date
05/03/2015
Last updated
08/17/2023
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