NPI 1023488251

Neurevolution Medicine, LLC

Organisation Non-Pharmacy Dispensing Site Kirkland, WA

Practice location

Address: 11644 NE 80th St, Kirkland, WA 98033-8111
Phone: (425) 780-6638
Fax: (844) 854-4660
Mailing address: 2980 N Beverly Glen Cir STE 100, Los Angeles, CA 90077-1726

Authorised official

Name: Richard D. Batson
Title: Owner
Phone: (425) 780-6638

Registered specialties

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X Licence NT60555957 (WA)

Other Non-Pharmacy Dispensing Site providers in Washington →

Registry record

NPI: 1023488251
Entity type: Organization
NPI issued: 30 Sep 2015
Record last updated: 30 Oct 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.