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Individual

MICHELE A DESPREAUX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4033 TALBOT RD S STE 570, RENTON, WA 98055-5700
(425) 690-3489
(425) 690-9089
Mailing address
4033 TALBOT RD S STE 500, RENTON, WA 98055-5704
(425) 690-3489
(425) 690-9089

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00033813
WA
208M00000X
Hospitalist Physician
MD00033813
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0141160
L&I
WA
05
1008278
WA
05
1346326147
WA
01
4794
INTERNAL ID-MOTOR VEHICLE ID
01
G8964245
MEDICARE W VALLEY MEDICAL GROUP - RENTON
WA
Enumeration date
10/27/2006
Last updated
10/31/2025
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