Organization
WASHINGTON ORTHOPEDICS AND SPORTS MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERI D WILKIN (BILLING MANAGER)
(425) 814-8514
Entity
Organization
Contact information
Practice address
11821 NE 128TH ST, SUITE A, KIRKLAND, WA 98034-7210
(425) 823-8282
(425) 823-6696
Mailing address
11821 NE 128TH ST, SUITE A, KIRKLAND, WA 98034-7210
(425) 823-8282
(425) 823-6696
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
MD00030689
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0053352
L&I GROUP
WA
01
—
5677DE
REGENCE GROUP WRITER
WA
05
—
7040033
—
WA
Enumeration date
07/03/2006
Last updated
08/22/2020
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