Organization
ADVANCED FAMILY MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRINE VAIMAN M.D. (MEDICAL DIRECTOR)
(425) 453-6838
Entity
Organization
Contact information
Practice address
2007 152ND AVE NE, REDMOND, WA 98052-5521
(425) 453-6838
(425) 456-0106
Mailing address
2007 152ND AVE NE, REDMOND, WA 98052-5521
(425) 453-6838
(425) 456-0106
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7087455
—
WA
Enumeration date
02/17/2006
Last updated
09/14/2010
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