Organization
MEDTRIQ TREATMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AJAINDER SHERGILL DO (OWNER)
(360) 334-1882
Entity
Organization
Contact information
Practice address
2603 BRIDGEPORT WAY W STE F, UNIVERSITY PLACE, WA 98466-4724
(253) 666-6780
(253) 666-6793
Mailing address
1567 HIGHLANDS DR NE STE 110-345, ISSAQUAH, WA 98029-6245
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
604172507
WA
Other
Enumeration date
09/27/2017
Last updated
01/29/2018
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