Organization
EASTSIDE WOMENS CLINIC
Active
Other names
Suzan Watanabe ARNP
Organization subpart
No
Provider details
NPI number
Authorized official
SUZAN JEANNE WATANABE ARNP (OWNER)
(425) 899-5600
Entity
Organization
Contact information
Practice address
11919 NE 128TH ST, SUITE C, KIRKLAND, WA 98034-7204
(425) 899-5600
(425) 899-5603
Mailing address
11919 NE 128TH ST, SUITE C, KIRKLAND, WA 98034-7204
(425) 899-5600
(425) 899-5603
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
601368747
WA
261QM2500X
Medical Specialty Clinic/Center
Primary
AP 30000483
WA
261QP2300X
Primary Care Clinic/Center
AP 30000483
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9606690
—
WA
01
—
WA3359
REGENCE
WA
Enumeration date
10/18/2006
Last updated
10/25/2013
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