Individual
REZA ROY BERJIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10555 SE CARR RD, RENTON, WA 98055-5820
(425) 656-4270
Mailing address
3600 LIND AVE SW, SUITE 100 ATTN CREDENTIALING, RENTON, WA 98057-4970
(425) 690-2715
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11650
NV
207Q00000X
Family Medicine Physician
Primary
MD6069869
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285607606
—
NV
05
—
2073553
—
WA
Enumeration date
02/08/2006
Last updated
08/17/2021
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