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Organization

EATING RECOVERY CENTER OF WASHINGTON

Active
Parent organization
EATING RECOVERY CENTER OF WA
Organization subpart
Yes

Provider details

NPI number
Legal business name
EATING RECOVERY CENTER OF WA
Authorized official
MARINA SHEPEL (CREDENTIALING MANAGER)
(206) 383-4781
Entity
Organization

Contact information

Practice address
1601 114TH AVE SE, SUITE #180, BELLEVUE, WA 98004-6950
(425) 451-1134
Mailing address
1601 114TH AVE SE, SUITE #180, BELLEVUE, WA 98004-6950
(425) 451-1134

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary

Other

Enumeration date
10/14/2016
Last updated
10/14/2016
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