Organization
ADVANCED FAMILY MEDICINE
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
1940 116TH AVE NE, SUITE 200, BELLEVUE, WA 98004-3097
(425) 453-6838
(425) 456-0106
Mailing address
1940 116TH AVE NE, SUITE 200, BELLEVUE, WA 98004-3097
(425) 453-6838
(425) 456-0106
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO00000798
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7122799
—
WA
Enumeration date
04/30/2007
Last updated
08/22/2020
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