Organization
QLIANCE MEDICAL GROUP OF WASHINGTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIKA BLISS M.D. (CEO)
18777542623
Entity
Organization
Contact information
Practice address
521 2ND PL N, KENT, WA 98032-4537
(253) 478-4900
Mailing address
521 2ND PL N, KENT, WA 98032-4537
(253) 478-4900
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
AP60608139
WA
Other
Enumeration date
12/31/2015
Last updated
12/31/2015
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