Eastside Medicine Ps

LBN: Eastside Medicine Ps
Eastside Medicine Ps is an health care organization with primary practice located at 18920 Bothell Way Ne Suite 203, Bothell WA 98011-1981. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Eastside Medicine Ps can be contacted via phone (425) 318-4848, or through Pepe, Harry via phone (425) 318-4848.

Contact Information

Primary practice address
18920 Bothell Way Ne Suite 203 Bothell WA 98011-1981
Phone: (425) 318-4848
Fax: (786) 975-2643
Website:
Map and Directions
Authorized official contact:
Name: Pepe, Harry Doctor of Medicine (MD)
Phone: (425) 318-4848

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00026250 Washington

Profile Details

NPI number 1679757405
LBN Legal business name Eastside Medicine Ps
DBA Doing business as
Authorized official Pepe, Harry Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2007
Last updated Dec 28th, 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 1679757405 NPPES
Washington MEDICAID 8120255

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