| Orientallers Llc | |
|
5188 Nw Sammamish Rd Issaquah WA 98027-9367 | |
| (425) 591-8657 | |
| Not Available |
| Full Name | Orientallers Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5188 Nw Sammamish Rd, Issaquah, Washington |
| Authorized Official Name and Position | Clement Sun (DIRECTOR) |
| Authorized Official Contact | 4255918657 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orientallers Llc 5188 Nw Sammamish Rd Issaquah WA 98027-9367 Ph: (425) 591-8657 | Orientallers Llc 5188 Nw Sammamish Rd Issaquah WA 98027-9367 Ph: (425) 591-8657 |
| NPI Number | 1104383728 |
|---|---|
| Provider Enumeration Date | 03/01/2019 |
| Last Update Date | 04/15/2019 |
| Medicare PECOS PAC ID | 2668714940 |
|---|---|
| Medicare Enrollment ID | O20190507002305 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104383728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Clement Sung-jay Sun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245626779 PECOS PAC ID: 4486996766 Enrollment ID: I20190507002392 |
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