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Organization

EASTSIDE PSYCHIATRIC SERVICES INC PS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SANG HO SUH M.D. (OWNER)
(425) 822-8153
Entity
Organization

Contact information

Practice address
2820 NORTHUP WAY STE 105, BELLEVUE, WA 98004-1419
(425) 822-8153
(425) 822-4010
Mailing address
2820 NORTHUP WAY STE 105, BELLEVUE, WA 98004-1419
(425) 822-8153
(425) 822-4010

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00035383
WA

Other

Enumeration date
06/12/2007
Last updated
04/13/2011
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