EASTSIDE OB/GYN PLLC - NPI 1740421585 - Obstetrics & Gynecology in Kirkland, WA

Q: What is the provider's specialty?

The provider's specialty is Obstetrics & Gynecology with taxonomy code 207V00000X.

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About Eastside Ob/gyn Pllc NPPES

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

EASTSIDE OB/GYN PLLC (NPI 1740421585) is a healthcare organization registered as an obstetrics & gynecology in Kirkland, Washington and active in the NPI registry since March 2009. The organization lists Jean R Dydell, Owner, as its authorized official.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1740421585

Entity TypeOrganization

Primary Taxonomy207V00000X

Legal Business NameEASTSIDE OB/GYN PLLC

Location Address12303 NE 130TH LN STE 450Kirkland, WA 98034-3032

Mailing Address12303 Ne 130th Ln Ste 450Kirkland, WA 98034-3032 · (425) 899-5000 · Fax (425) 899-5006

Phone(425) 899-5000

Fax(425) 899-5006

Organization SubpartNo

Authorized OfficialJean R DydellOwner · (425) 899-5000

Enumeration DateMarch 6, 2009

Last NPPES UpdateJuly 17, 2013

✔ NPI 1740421585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in WA · MD00038545

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

12303 NE 130TH LN STE 450, Kirkland, WA 98034

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP