| Pacific Coast Health Care, Pllc | |
|
Mission Healthcare At Bellevue 2424 156th Avenue Ne Bellevue WA 98007 | |
| (425) 897-8800 | |
| Not Available |
| Full Name | Pacific Coast Health Care, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | Mission Healthcare At Bellevue, Bellevue, Washington |
| Authorized Official Name and Position | Lisa Alexius Pujol Boe (OWNER, CEO) |
| Authorized Official Contact | 9259845946 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Coast Health Care, Pllc 10032 Ne 15th St Bellevue WA 98004-3502 Ph: (925) 984-5946 | Pacific Coast Health Care, Pllc Mission Healthcare At Bellevue 2424 156th Avenue Ne Bellevue WA 98007 Ph: (425) 897-8800 |
| NPI Number | 1275188021 |
|---|---|
| Provider Enumeration Date | 08/08/2019 |
| Last Update Date | 11/08/2019 |
| Medicare PECOS PAC ID | 2860723335 |
|---|---|
| Medicare Enrollment ID | O20191015000358 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275188021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Lisa A Pujol Boe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548343122 PECOS PAC ID: 7517986532 Enrollment ID: I20130801000796 |
| Provider Name | Rijesh Raj Shrestha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316261670 PECOS PAC ID: 5890826721 Enrollment ID: I20191022001735 |
| Provider Name | Olivia Bordiuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639784259 PECOS PAC ID: 3476963299 Enrollment ID: I20201106001341 |
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