Issaquah Medical Group

NPI #1649316266 in Issaquah, Washington

Provider Information

NPI Number: 1649316266
Entity Type: Organization
Organization Name: Issaquah Medical Group
Primary Specialty: Pediatrics
Enumeration Date: Jan 30, 2007
Last Updated: Mar 7, 2023

Practice Location

Address: 450 NW GILMAN BLVD STE 201
City: Issaquah
State: Washington
ZIP Code: 98027-2483
Phone: (425) 391-0705

Authorized Official

Name: MR. MICHAEL P HOURIGAN
Title: ADMINISTRATOR
Phone: (425) 391-0705

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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