| Ageright Clinical Services Wa, PLLC | |
|
14729 Ne 87th St Redmond WA 98052-6500 | |
| (971) 206-5200 | |
| Not Available |
| Full Name | Ageright Clinical Services Wa, PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 14729 Ne 87th St, Redmond, Washington |
| Authorized Official Name and Position | Staci Tone (CONTROLLER) |
| Authorized Official Contact | 9712065125 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ageright Clinical Services Wa, PLLC 4560 Se International Way Ste 100 Milwaukie OR 97222-4628 Ph: (971) 206-5100 | Ageright Clinical Services Wa, PLLC 14729 Ne 87th St Redmond WA 98052-6500 Ph: (971) 206-5200 |
| NPI Number | 1689557290 |
|---|---|
| Provider Enumeration Date | 07/30/2025 |
| Last Update Date | 05/14/2026 |
| Certification Date | 05/14/2026 |
| Medicare PECOS PAC ID | 8921589680 |
|---|---|
| Medicare Enrollment ID | O20260220003781 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689557290 | NPI | - | NPPES |
| Provider Name | Elizabeth Rose Irons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558811570 PECOS PAC ID: 1850672304 Enrollment ID: I20161221001847 |
| Provider Name | Sharon Renay Christor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376038281 PECOS PAC ID: 3375876683 Enrollment ID: I20190531000013 |
| Provider Name | Jared Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336485259 PECOS PAC ID: 6305069162 Enrollment ID: I20201229002649 |
| Provider Name | Bona Bobo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659933075 PECOS PAC ID: 6507292851 Enrollment ID: I20230908002956 |
| Provider Name | Heather Dryden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528367133 PECOS PAC ID: 0244451920 Enrollment ID: I20260220003859 |
| Provider Name | James Edward Suiter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891982286 PECOS PAC ID: 5395815468 Enrollment ID: I20260501001683 |
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