Prohealth Medical, Ltd.
NPI #1386048668 in Bellevue, Washington
Provider Information
- NPI Number
- 1386048668
- Entity Type
- Organization
- Organization Name
- Prohealth Medical, Ltd.
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Oct 15, 2014
- Last Updated
- Oct 15, 2014
Practice Location
- Address
- 1233 120TH AVE NE
- City
- Bellevue
- State
- Washington
- ZIP Code
- 98005-2147
- Phone
- (425) 502-8098
Authorized Official
- Name
- JENA LARIVIERE RIVERS, M.D.
- Title
- OWNER
- Phone
- (206) 963-6500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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