Individual
DR. REINIER DEJONG VANCOEVORDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 4TH AVE NW STE 204, ISSAQUAH, WA 98027-9371
(425) 557-4227
(425) 557-2858
Mailing address
1420 NW GILMAN BLVD., PMB 2856, ISSAQUAH, WA 87027
(425) 557-4227
(425) 557-2858
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00031289
WA
Other
Enumeration date
08/04/2006
Last updated
01/28/2023
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