Organization
BELLEVUE MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY CLEMENS (CONTRACT COORDINATOR)
(206) 538-6300
Entity
Organization
Contact information
Practice address
8725 S TACOMA WAY, LAKEWOOD, WA 98499-4544
(253) 535-5552
Mailing address
8725 S TACOMA WAY, LAKEWOOD, WA 98499-4544
(253) 535-5552
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/02/2019
Last updated
09/17/2019
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