NPI 1376763433

Advanced Family Medicine

Organisation Podiatrist Bellevue, WA

Practice location

Address: 1940 116th Ave NE Suite 200, Bellevue, WA 98004-3097
Phone: (425) 453-6838
Fax: (425) 456-0106

Authorised official

Name: Irine Vaiman
Title: Medical Director
Phone: (425) 453-6838

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence PO00000798 (WA)

Other Podiatrist providers in Washington →

Registry record

NPI: 1376763433
Entity type: Organization
NPI issued: 30 Apr 2007
Record last updated: 22 Aug 2020

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.