Organization · Type 2 NPI

Emerald City Sports & Spine Medicine

Medical Specialty Clinic/Center · Bellevue, WA

NPI number 1992074066 Active

Practice location

1632 116th Ave NE, Ste C
Bellevue, WA 98004-3035

Fax (888) 557-3062

Mailing address

6924 SE Allen St
Mercer Island, WA 98040-3357

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XMD 39116 (WA)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

10 other providers at this address

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About NPI 1992074066

Emerald City Sports & Spine Medicine's National Provider Identifier is 1992074066, issued on Dec 20, 2011. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Bellevue, WA. The record was last updated on Feb 22, 2012.