Individual
EILEEN MARGARET REARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12040 NE 128TH ST, KIRKLAND, WA 98034-3013
(425) 899-1000
Mailing address
16285 166TH DR SE, MONROE, WA 98272-2556
(303) 514-6627
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
48636
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10486810
—
CO
Enumeration date
05/19/2006
Last updated
02/11/2022
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