Organization
DEICHERT INTEGRATIVE HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DEICHERT ARNP (OWNER)
(206) 795-5760
Entity
Organization
Contact information
Practice address
12600 SE 38TH ST STE 130, BELLEVUE, WA 98006
(425) 679-6056
Mailing address
20624 SE 119TH ST, ISSAQUAH, WA 98027-5402
(206) 795-5760
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60178142
WA
Other
Enumeration date
11/28/2011
Last updated
12/27/2018
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