Organization
JOSHUA HIEP LE, DO, PLLC
Active
Other names
Elevated Primary Care, Le Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA H LE DO (PHYSICIAN)
(206) 395-4748
Entity
Organization
Contact information
Practice address
4300 TALBOT RD S STE 105, RENTON, WA 98055-6238
(206) 395-4748
Mailing address
23511 MARINE VIEW DR S, DES MOINES, WA 98198-7351
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104076843
NPI
—
01
—
1154612091
NPI
WA
01
—
1851738512
NPI
—
01
—
DO.OP60670596
STATE MEDICAL LICENSE
WA
Enumeration date
05/23/2022
Last updated
12/01/2023
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