Individual
NICHOLAS TYLER CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15809 BEAR CREEK PKWY STE 100, REDMOND, WA 98052-1542
(425) 882-6100
Mailing address
15809 BEAR CREEK PKWY STE 100, REDMOND, WA 98052-1542
(425) 882-6100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP60850304
WA
Other
Enumeration date
04/22/2015
Last updated
03/31/2021
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