Organization
BELLEVUE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMON KOONER (PRESIDENT)
(425) 577-1517
Entity
Organization
Contact information
Practice address
10655 NE 4TH ST, STE 101, BELLEVUE, WA 98004-5035
(425) 577-1517
(425) 454-7767
Mailing address
10655 NE 4TH ST, STE 101, BELLEVUE, WA 98004-5035
(425) 577-1517
(425) 454-7767
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004437
WA
Other
Enumeration date
11/11/2015
Last updated
11/11/2015
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