Organization
NORTHWEST INTEGER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON YEE M.D. (MANAGING MEMBER)
(360) 819-1026
Entity
Organization
Contact information
Practice address
1420 MARVIN RD NE STE C, #232, LACEY, WA 98516-3878
(360) 819-1026
Mailing address
1420 MARVIN RD NE STE C, #232, LACEY, WA 98516-3878
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
—
—
2084N0400X
Neurology Physician
—
—
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
Other
Enumeration date
12/01/2015
Last updated
11/16/2016
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