EASTSIDE RETIREMENT ASSOCIATION NPI 1619122934

NPI Information

  • NPI: 1619122934
  • Provider Name: EASTSIDE RETIREMENT ASSOCIATION
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 10901 176TH CIR NE
    REDMOND, WA
    ZIP 98052
  • Phone: (425) 556-8100

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NPI Details

EASTSIDE RETIREMENT ASSOCIATION is a primary care clinic center in Redmond, WA. EASTSIDE RETIREMENT ASSOCIATION NPI is 1619122934. The provider is registered as an organization entity type.

The provider's business location address is:

10901 176TH CIR NE
REDMOND, WA
ZIP 98052-218
Phone: (425) 556-8100
Fax: (425) 558-3824

The provider's authorized official is Lisa A Hardy .
The authorized official title is President/ceo and has the following contact phone number (425) 556-8100.

The enumeration date for this NPI number is 12/1/2008 and was last updated on 12/1/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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