Organization
ADULT & CHILD MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRINA D MILMAN MD (OWNER)
(206) 533-1570
Entity
Organization
Contact information
Practice address
1207 N 200TH ST, SUITE # 102, SHORELINE, WA 98133-3213
(206) 533-1570
Mailing address
1207 N 200TH ST, SUITE # 102, SHORELINE, WA 98133-3213
(206) 533-1570
(206) 533-1668
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD00042748
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1120534
—
WA
01
—
2227182
FIRST HEALTH
WA
01
—
6175MI
REGENCE
WA
Enumeration date
10/26/2007
Last updated
10/18/2012
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