Organization
BELLEVUE PHYSIATRY AND ELECTRODIAGNOSIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN H BURGESS MD (OWNER)
(425) 712-3417
Entity
Organization
Contact information
Practice address
12824 SE 4TH PL, BELLEVUE, WA 98005-3608
(425) 712-3417
Mailing address
PO BOX 3129, LYNNWOOD, WA 98046-3129
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
10/16/2009
Last updated
10/16/2009
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