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

Northwest Physical Medicine Ps

Organization Specialist · NPI 1972920502

Northwest Physical Medicine Ps is a Specialist in Bellevue, Washington. Licensed in Washington. Registered with an NPI since 2014.

Licensed in
WA
In the registry since
2014

Practice location Address checks out

10655 NE 4th St Ste 101
Bellevue, WA 98004-5022
Phone: (425) 455-2225
Fax: (425) 454-7767
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MA60322491 (WA)

Record details

NPI number1972920502
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raymon Kooner — Owner · (425) 455-2225
NPI enumeratedMarch 20, 2014
Last updated in NPPESMarch 20, 2014
Mailing address10655 Ne 4th St Ste 101, Bellevue, WA 98004-5022

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