NPI 1508182692

Qliance Medical Group of Wa

Organisation Family Medicine Physician Kent, WA

Practice location

Address: 521 2nd Pl N Suite 103, Kent, WA 98032-4537
Phone: (253) 478-4900
Fax: (253) 478-4810
Mailing address: 999 3rd Ave Suite 810, Seattle, WA 98104-4019

Authorised official

Name: Garrison Bliss
Title: Chief Medical Officer
Phone: (206) 381-3030

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Washington →

Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X

Other Internal Medicine providers in Washington →

Registry record

NPI: 1508182692
Entity type: Organization
NPI issued: 14 Apr 2010
Record last updated: 14 Apr 2010

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.