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Organization

NORTHWEST PHYSICAL MEDICINE PS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RAYMON KOONER D,C, (OWNER)
(425) 455-2225
Entity
Organization

Contact information

Practice address
10655 NE 4TH ST STE 101, BELLEVUE, WA 98004-5022
(425) 455-2225
(425) 454-7767
Mailing address
10655 NE 4TH ST STE 101, BELLEVUE, WA 98004-5022
(425) 455-2225
(425) 454-7767

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60322491
WA

Other

Enumeration date
03/20/2014
Last updated
03/20/2014
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