Organization
EASTSIDE REHABILITATION MEDICINE PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILL ANNETTE WILLIAMS MEDICAL DOCTOR (OWNER)
(425) 392-8513
Entity
Organization
Contact information
Practice address
12303 NE 130TH LANE, SUITE 220, EVERGREEN HOSPITAL PROFESSIONAL CENTER, KIRKLAND, WA 98034
(425) 899-6060
(425) 899-6078
Mailing address
1128 NE KATSURA ST, ISSAQUAH, WA 98029-6919
(425) 392-8513
(425) 392-8521
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD00041527
WA
Other
Enumeration date
01/22/2008
Last updated
02/17/2008
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