367A00000X
Bellevue, WA
Specialty
367A00000X
Credential
RN
NPI
1053802074
11511 Ne 10th St, Bellevue, WA 98004
(425) 774-1538Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 367a00000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 367A00000X