OrganizationActive
Eastside Internal Medicine PLLC
NPI 1023165594 · Medical Specialty Clinic/Center · Kirkland, WA
Provider details
- NPI number
- 1023165594
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Douglas Portelance, MD President(425) 899-6700
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12333 Ne 120th Ln. Ste 310
Kirkland, WA 98034
Phone: (425) 899-6700
Fax: (425) 899-6701
Street-level locationGet directions
Mailing address
12333 Ne 120th Ln. Ste 310
Kirkland, WA 98034
Registry dates
- Enumerated
- 2007-01-05
- Last updated
- 2007-12-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.