Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eastside Anxiety PLLC

Organization Psychiatry Physician · NPI 1063145332

Eastside Anxiety PLLC is a Psychiatry Physician in Bellevue, Washington. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2105 112th Ave NE Ste 201
Bellevue, WA 98004-2945
Phone: (425) 968-5948
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1063145332
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nancy Wagner — Owner · (425) 968-5948
NPI enumeratedJuly 5, 2022
Last updated in NPPESJuly 5, 2022
Certification dateJuly 5, 2022
Mailing address2105 112th Ave Ne Ste 201, Bellevue, WA 98004-2945

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