Eastside Internal Medicine Pllc

LBN: Eastside Internal Medicine Pllc
Eastside Internal Medicine Pllc is an health care organization with primary practice located at 12333 Ne 120Th Ln. Ste 310 , Kirkland WA 98034. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Eastside Internal Medicine Pllc can be contacted via phone (425) 899-6700, or through Portelance, Douglas A via phone (425) 899-6700.

Contact Information

Primary practice address
12333 Ne 120Th Ln. Ste 310 Kirkland WA 98034
Phone: (425) 899-6700
Fax: (425) 899-6701
Website:
Map and Directions
Authorized official contact:
Name: Portelance, Douglas A
Phone: (425) 899-6700

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X Washington

Profile Details

NPI number 1023165594
LBN Legal business name Eastside Internal Medicine Pllc
DBA Doing business as
Authorized official Portelance, Douglas A
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2007
Last updated Dec 18th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023165594 NPPES
Washington Other 145684 LABOR & INDUSTRIES

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