OrganizationActive
Eastside Medical Group, LLC
NPI 1750709358 · Ambulatory Surgical Clinic/Center · Issaquah, WA
Provider details
- NPI number
- 1750709358
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Robert Howie, Treasurer(425) 837-9720
Specialties & taxonomies
Ambulatory Health Care Facilities
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
Practice location
1301 4th Ave Nw
Issaquah, WA 98027-9371
Phone: (425) 270-3713
Fax: (425) 295-7557
Approximate (ZIP-level) locationGet directions
Mailing address
1301 4th Ave Nw
Issaquah, WA 98027-9371
Registry dates
- Enumerated
- 2014-04-01
- Last updated
- 2017-01-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.