| Rheumatology Medicine | |
|
675 N 5th Ave Ste 3b Sequim WA 98382-3066 | |
| (360) 649-2012 | |
| (360) 251-0291 |
| Full Name | Rheumatology Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 675 N 5th Ave Ste 3b, Sequim, Washington |
| Authorized Official Name and Position | Larry Balentine (OWNER) |
| Authorized Official Contact | 3606492012 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rheumatology Medicine Po Box 2742 Port Angeles WA 98362-0332 | Rheumatology Medicine 675 N 5th Ave Ste 3b Sequim WA 98382-3066 Ph: (360) 649-2012 |
| NPI Number | 1336020395 |
|---|---|
| Provider Enumeration Date | 09/08/2025 |
| Last Update Date | 09/08/2025 |
| Certification Date | 09/08/2025 |
| Medicare PECOS PAC ID | 7517454028 |
|---|---|
| Medicare Enrollment ID | O20251016003422 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336020395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207RR0500X | Internal Medicine - Rheumatology | () | Secondary |
| Provider Name | Larry Thomas Balentine |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1578658043 PECOS PAC ID: 0446243166 Enrollment ID: I20251016003544 |
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