Individual
GERARDO PAYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12835 BEL RED RD, BLDG 100, SUITE 145, BELLEVUE, WA 98005-2631
(425) 460-7114
(425) 460-7115
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-3335
(206) 764-0489
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
RC00063298
WA
Other
Enumeration date
03/12/2009
Last updated
03/12/2009
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