Organization
NORTHWEST SPINE & SPORTS PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TINA MARIE LEAVITT (OPERATIONS MANAGER)
(425) 451-2272
Entity
Organization
Contact information
Practice address
1750 112TH AVE NE, SUITE D 258, BELLEVUE, WA 98004-3752
(425) 451-2272
(425) 451-1052
Mailing address
1750 112TH AVE NE, SUITE D 258, BELLEVUE, WA 98004-3752
(425) 451-2272
(425) 451-1052
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
601873433
WA
Other
Enumeration date
11/17/2006
Last updated
06/05/2008
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