Premise Health of Washington Medical, P.c
NPI #1497118400 in Blaine, Washington
Provider Information
- NPI Number
- 1497118400
- Entity Type
- Organization
- Organization Name
- Premise Health of Washington Medical, P.c
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Mar 29, 2016
- Last Updated
- Aug 15, 2022
Practice Location
- Address
- 4519 GRANDVIEW RD
- City
- Blaine
- State
- Washington
- ZIP Code
- 98230-9640
- Phone
- (360) 526-4813
Authorized Official
- Name
- DR. JONATHAN LEIZMAN, MD
- Title
- PRESIDENT
- Phone
- (216) 479-9063
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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