Premier Therapeutic Experience
Premier Therapeutic Experience is a Preferred Provider Organization in Redmond, Washington. Licensed in Washington. Registered with an NPI since 2012.
- Licensed in
- WA
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
8105 166th Ave NE Ste 202Redmond, WA 98052-3999
Phone: (253) 970-0779
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X · Licence LH 60270904 (WA) |
|---|---|
| Preferred Provider Organization | Taxonomy 305R00000X · Licence CO 60180142 (WA) |
Record details
| NPI number | 1639438955 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Brandon Stogsdill — Clinician · (253) 970-0779 |
| NPI enumerated | May 7, 2012 |
| Last updated in NPPES | May 7, 2012 |
| Mailing address | 8105 166th Ave Ne, Suite 202, Redmond, WA 98052-3999 |
Other providers in Redmond
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Mr. Brian Christopher Jewett, LMP
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-
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-
Sound Dermatology & Skin Surgery PLLC
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