Individual
CHEYENNE ENEVOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 NE GILMAN BLVD, ISSAQUAH, WA 98027-2925
(425) 557-8000
(425) 557-8014
Mailing address
100 NE GILMAN BLVD, ISSAQUAH, WA 98027-2925
(425) 557-8000
(425) 557-8014
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD61134213
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/11/2015
Last updated
07/08/2021
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