Organization
PROHEALTH MEDICAL, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENA LARIVIERE RIVERS M.D. (OWNER)
(206) 963-6500
Entity
Organization
Contact information
Practice address
1233 120TH AVE NE, BELLEVUE, WA 98005-2147
(425) 502-8098
(866) 521-0472
Mailing address
2623 E HELEN ST, SEATTLE, WA 98112-3619
(206) 963-6500
(866) 521-0472
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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