Organization
PACIFIC RETINA CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMISON R RIDGELEY MD (MANAGER)
(910) 742-7427
Entity
Organization
Contact information
Practice address
1412 SW 43RD ST, RENTON, WA 98057-4803
(910) 742-7427
Mailing address
12024 NE 100TH PL, KIRKLAND, WA 98033-8828
(910) 742-7427
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Enumeration date
11/01/2018
Last updated
11/24/2024
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