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Organization

CASCADE HEART CLINIC, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSEPH VINCENT CONDON M.D. (PRESIDENT)
(425) 454-1560
Entity
Organization

Contact information

Practice address
13033 BELLEVUE REDMOND RD, SUITE 230, BELLEVUE, WA 98005-2633
(425) 454-1560
(425) 457-7107
Mailing address
13033 BELLEVUE REDMOND RD, SUITE 230, BELLEVUE, WA 98005-2633
(425) 454-1560
(425) 457-7107

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD00033528
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8207482
WA
05
8225278
WA
Enumeration date
12/28/2007
Last updated
12/28/2007
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