OrganizationActive
Renovo Medical Group
NPI 1275931982 · Adult Medicine Physician · Shoreline, WA
Provider details
- NPI number
- 1275931982
- Entity type
- Organization
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Cheryl Hamill, Operations Manager(425) 778-2220
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
Practice location
19930 Ballinger Way Ne
Shoreline, WA 98155-1223
Phone: (425) 778-2220
Approximate (ZIP-level) locationGet directions
Mailing address
19930 Ballinger Way Ne
Shoreline, WA 98155-1223
Registry dates
- Enumerated
- 2014-12-11
- Last updated
- 2018-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.