Individual
DR. OSCAR IBANEZ GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12333 NE 130TH LANE, STE 320, KIRKLAND, WA 98034-3039
(425) 899-0555
Mailing address
12333 NE 130TH LANE, EVERGREEN HEALTH STE 320, KIRKLAND, WA 98034-3039
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0000000
WA
207R00000X
Internal Medicine Physician
00000000
CA
207RC0000X
Cardiovascular Disease Physician
Primary
MD60152903
WA
Other
Enumeration date
11/04/2007
Last updated
09/26/2014
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