NPI Profile for CASCADE RETINA PLLC in EVERETT, WA.
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Retina Specialist |
207WX0107X | 18 | Physician/Ophthalmology | |
Ophthalmology |
207W00000X | 18 | Physician/Ophthalmology |
| NPI # | 1104608710 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/18/2023 | |
| Last updated | 04/23/2024 - About 2 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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CASCADE RETINA PLLC
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