Organization
PACIFIC NORTHWEST RETINA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES D BIRNBACH MD (SECRETARY)
(425) 296-3837
Entity
Organization
Contact information
Practice address
1750 112TH AVE NE STE D050, BELLEVUE, WA 98004-3779
(206) 215-3850
(206) 215-3870
Mailing address
1750 112TH AVE NE STE D050, BELLEVUE, WA 98004-3779
(206) 215-3850
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
04/07/2021
Last updated
08/21/2023
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