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EASTSIDE INTERNAL MEDICINE PLLC
NPI 1023165594
Clinic/Center - Medical Specialty in Kirkland, WA

Active since January 05, 2007
12333 NE 120TH LN. STE 310, KIRKLAND, WA 98034(425) 899-6700(425) 899-6701 Get Directions Write a Review

NPPES record last updated: December 18, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eastside Internal Medicine Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASTSIDE INTERNAL MEDICINE PLLC (NPI 1023165594) is a healthcare organization registered as a medical specialty in Kirkland, Washington and active in the NPI registry since January 2007. The organization lists Douglas A Portelance, Md President, as its authorized official.

NPPES Registry Identity

NPI1023165594
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameEASTSIDE INTERNAL MEDICINE PLLC
Location Address12333 NE 120TH LN. STE 310Kirkland, WA 98034
Mailing Address12333 Ne 120th Ln. Ste 310Kirkland, WA 98034
Phone(425) 899-6700
Fax(425) 899-6701
Organization SubpartNo
Authorized OfficialDouglas A PortelanceMd President · (425) 899-6700
Enumeration DateJanuary 5, 2007
Last NPPES UpdateDecember 18, 2007
✔ NPI 1023165594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
12333 NE 120TH LN. STE 310, Kirkland, WA 98034
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Other Identifiers 2

Other145684WA · Labor & Industries
Medicare PINGAB19698WA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eastside Internal Medicine PLLC's NPI number?

The NPI number for Eastside Internal Medicine PLLC is 1023165594. It was assigned to this organization in the NPPES registry on January 5, 2007.

Where is Eastside Internal Medicine PLLC located?

Eastside Internal Medicine PLLC is located at 12333 NE 120th Ln. Ste 310, Kirkland, WA 98034. The listed phone number is (425) 899-6700.

What is Eastside Internal Medicine PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Eastside Internal Medicine PLLC was last updated on December 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.