Organization
PUGET SOUND GASTROENTEROLOGY, PLLC
Active
Other names
Puget Sound Gastroenterology at Kirkland
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN OLIVER CEO (CEO)
(786) 530-3820
Entity
Organization
Contact information
Practice address
11800 NE 128TH ST, SUITE 100, KIRKLAND, WA 98034-7208
(425) 899-4500
(425) 899-4510
Mailing address
PO BOX 34888, SEATTLE, WA 98124-1888
(425) 977-4620
(425) 745-9836
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
600388519
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0070120
LABOR AND INDUSTRIES
WA
05
—
1044170
—
WA
Enumeration date
02/27/2007
Last updated
05/16/2025
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