Whalio Doctors

NPI 1992759815

Medcare Clinics LTD

Organisation Preferred Provider Organization Issaquah, WA

Practice location

Address
1490 NW Gilman Blvd, Issaquah, WA 98027-5327
Phone
(425) 557-4227
Fax
(425) 557-2858

Authorised official

Name
Reinier van Coevorden
Title
MD
Phone
(425) 557-4227

Registered specialties

Preferred Provider Organization Primary
Managed Care Organizations Taxonomy 305R00000X Licence MD00031289 (WA)

Registry record

NPI
1992759815
Entity type
Organization
NPI issued
22 May 2006
Record last updated
6 Dec 2007

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.