Individual
NICOLE O'MALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1100 112TH AVE NE STE 320, BELLEVUE, WA 98004-4511
(425) 289-3000
Mailing address
1035 116TH AVE NE, BELLEVUE, WA 98004-4604
(425) 289-3000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
9408481
KS
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
61470679
WA
207QS1201X
Sleep Medicine (Family Medicine) Physician
DR.0066683
CO
Other
Enumeration date
06/18/2014
Last updated
12/05/2023
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