Organization
ISB.INC
Active
Other names
Advanced Foot & Ankle Clinic of Bellevue
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ILONA BARLAM DPM (OWNER)
(425) 643-8901
Entity
Organization
Contact information
Practice address
2001 152ND AVE NE, REDMOND, WA 98052-5521
(425) 643-8901
(425) 643-8902
Mailing address
2001 152ND AVE NE, REDMOND, WA 98052-5521
(425) 643-8901
(425) 643-8902
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
PO00000798
WA
213E00000X
Podiatrist
PO00000799
WA
213ES0131X
Foot Surgery Podiatrist
PO00000798
WA
213ES0131X
Foot Surgery Podiatrist
Primary
PO00000799
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0211557
L&I
WA
01
—
0211559
L&I
WA
01
—
0211560
L&I
WA
05
—
7133754
—
WA
05
—
8458416
—
WA
05
—
8458432
—
WA
Enumeration date
09/10/2007
Last updated
12/19/2014
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