Organization
EIDE NEUROLEARNING CLINIC, INC P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERNETTE FANG EIDE M.D. (CO-PRESIDENT)
(425) 742-2218
Entity
Organization
Contact information
Practice address
6701 139TH PL SW, EDMONDS, WA 98026-3223
(425) 742-2218
(425) 609-0050
Mailing address
6701 139TH PL SW, EDMONDS, WA 98026-3223
(425) 742-2218
(425) 609-0050
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
39835
WA
2084N0400X
Neurology Physician
39816
WA
Other
Enumeration date
04/02/2007
Last updated
09/11/2025
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