Organization
DR. PAMELA J. BINGHAM, INC. P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAMELA J BINGHAM O.D. (OWNER)
(206) 522-9323
Entity
Organization
Contact information
Practice address
2602 NE UNIVERSITY VILLAGE ST, SEATTLE, WA 98105-5023
(206) 522-9323
(425) 897-0406
Mailing address
19028 NE 51ST ST, SAMMAMISH, WA 98074-4650
(206) 522-9323
(425) 897-0406
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
WA3235
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WA3235
STATE LICENSE
WA
Enumeration date
01/03/2012
Last updated
01/03/2012
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