| Primary Care Redmond, Pllc | |
|
8301 161st Ave Ne Suite 100 Redmond WA 98052-3858 | |
| (425) 895-8600 | |
| Not Available |
| Full Name | Primary Care Redmond, Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 8301 161st Ave Ne, Redmond, Washington |
| Authorized Official Name and Position | Linda Ann Van Hoff (OWNER) |
| Authorized Official Contact | 4258958600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Redmond, Pllc 8301 161st Ave Ne Suite 100 Redmond WA 98052-3858 Ph: (425) 895-8600 | Primary Care Redmond, Pllc 8301 161st Ave Ne Suite 100 Redmond WA 98052-3858 Ph: (425) 895-8600 |
| NPI Number | 1154699924 |
|---|---|
| Provider Enumeration Date | 12/08/2011 |
| Last Update Date | 12/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154699924 | NPI | - | NPPES |
| 1497737316 | Other | INDIVIDUAL NPI | |
| 1588676001 | Other | INDIVIDUAL NPI | |
| AB17259 | Other | WA | WA MEDICARE NUMBER |
| 8850455 | Other | WA | WA MEDICARE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | AP30004449 (Washington) | Primary |
| 261QP2300X | Clinic/center - Primary Care | AP30001935 (Washington) | Secondary |
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