Individual
DR. NICOLAAS PIET DERUYTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1750 112TH AVE NE STE D050, BELLEVUE, WA 98004-3779
(206) 215-3850
(206) 215-3870
Mailing address
22232 17TH AVE SE STE 308, BOTHELL, WA 98021-7425
(425) 296-3837
(206) 215-3870
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
64964
TN
207W00000X
Ophthalmology Physician
Primary
MD61507714
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2018
Last updated
02/03/2026
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