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Organization

PHYSICAL MEDICINE OF BELLEVUE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MIKHAIL V. MAKOVSKI MD (MEDICAL DIRECTOR)
(425) 452-9280
Entity
Organization

Contact information

Practice address
555 108TH AVE NE STE 1, BELLEVUE, WA 98004-5578
(425) 452-9280
(425) 452-9306
Mailing address
555 108TH AVE NE STE 1, BELLEVUE, WA 98004-5578
(425) 452-9280
(425) 452-9306

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH00003438
WA
111N00000X
Chiropractor
CH60266885
WA
163WG0000X
General Practice Registered Nurse
AP60184962
WA
208D00000X
General Practice Physician
Primary
MD00039986
WA
225700000X
Massage Therapist
MA60147179
WA

Other

Enumeration date
08/21/2012
Last updated
02/07/2013
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