Organization
CASCADE ALLERGY CENTER
Active
Other names
Cascade Allergy
Organization subpart
No
Provider details
NPI number
Authorized official
VICKIE WEDLOCK (BILLING/ADMINISTRATION)
(206) 261-8355
Entity
Organization
Contact information
Practice address
14205 SE 36TH ST STE 365, BELLEVUE, WA 98006-1596
(206) 261-8355
Mailing address
14205 SE 36TH ST STE 365, BELLEVUE, WA 98006-1596
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP60118915
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821320938
—
WA
Enumeration date
01/18/2018
Last updated
01/18/2018
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