Organization
NORTHWEST PHYSICAL MEDICINE PS
Active
Other names
Bellevue Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMON KOONER MD (OWNER)
(425) 455-2225
Entity
Organization
Contact information
Practice address
10655 NE 4TH ST, SUITE 101, BELLEVUE, WA 98004-5035
(425) 455-2225
Mailing address
10655 NE 4TH ST, SUITE 101, BELLEVUE, WA 98004-5035
(425) 455-2225
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
MD00044383
WA
Other
Enumeration date
12/26/2011
Last updated
05/30/2012
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