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Organization

MARK G. OCHENRIDER, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK GORDON OCHENRIDER M.D. (OWNER)
(425) 821-4848
Entity
Organization

Contact information

Practice address
11903 NE 128TH ST, SUITE B, KIRKLAND, WA 98034-7209
(425) 821-4848
(425) 821-4847
Mailing address
11903 NE 128TH ST, SUITE B, KIRKLAND, WA 98034-7209
(425) 821-4848
(425) 821-4847

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00048527
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1125020
WA
Enumeration date
05/29/2008
Last updated
06/23/2010
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