Individual
DR. RENEE CAROLE MINJAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1135 116TH AVE NE, SUITE 305, BELLEVUE, WA 98004-4623
(425) 453-1772
(425) 453-0603
Mailing address
1135 116TH AVE NE, SUITE 305, BELLEVUE, WA 98004-4623
(206) 592-5000
(206) 824-9510
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD60158478
WA
390200000X
Student in an Organized Health Care Education/Training Program
LL16254
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639373277
—
WA
Enumeration date
06/14/2007
Last updated
03/03/2015
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