Provider Demographics
NPI:1467492850
Name:BELLEVUE EAR, NOSE & THROAT CLINIC, INC
Entity Type:Organization
Organization Name:BELLEVUE EAR, NOSE & THROAT CLINIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR/SENIOR PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANONSEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:425-454-3938
Mailing Address - Street 1:1135 116TH AVE NE
Mailing Address - Street 2:#500
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-4623
Mailing Address - Country:US
Mailing Address - Phone:425-454-3938
Mailing Address - Fax:425-454-2568
Practice Address - Street 1:1135 116TH AVE NE
Practice Address - Street 2:#500
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-4623
Practice Address - Country:US
Practice Address - Phone:425-454-3938
Practice Address - Fax:425-454-2568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty