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Individual

DR. LEWIS RIELEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1959 NE PACIFIC ST, BB-1469, BOX 356540, SEATTLE, WA 98195-6540
(206) 543-2470
(206) 543-2958
Mailing address
BOX 356540, 1959 NE PACIFIC ST, BB-1469, SEATTLE, WA 98195-6540
(206) 543-2470
(206) 543-2958

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
240636
MA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
ML 60161072
WA

Other

Enumeration date
07/08/2009
Last updated
10/15/2012
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