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Organization

ISB, INC

Active
Other names
Advanced Foot & Ankle Clinic of Kent
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ILONA BARLAM DPM (OWNER)
(206) 992-9914
Entity
Organization

Contact information

Practice address
10056 SE 240TH ST, SUITE D, KENT, WA 98031-5126
(206) 992-9914
(206) 501-2102
Mailing address
4306 156TH AVE NE, TT-261, REDMOND, WA 98052-5304
(206) 992-9914
(206) 501-2102

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0211557
L&I
WA
01
0211559
L&I
WA
01
0211560
L&I
WA
01
5981360001
DMEPOS
WA
05
7133754
WA
05
8458416
WA
05
8458432
WA
Enumeration date
05/16/2007
Last updated
04/15/2008
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