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

Rejuvenation Medical PLLC

Organization Family Medicine Physician · NPI 1447712559

Rejuvenation Medical PLLC is a Family Medicine Physician in Shoreline, Washington. Registered with an NPI since 2019.

In the registry since
2019
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

20011 Ballinger Way NE
Shoreline, WA 98155-1286
Phone: (206) 407-4171
Fax: (206) 906-9981
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1447712559
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joshua Kretchmar — Do · (817) 789-2639
NPI enumeratedApril 5, 2019
Last updated in NPPESApril 5, 2019
Mailing address20011 Ballinger Way Ne, Shoreline, WA 98155-1286

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