Provider Demographics
NPI:1710288063
Name:ELECTRODIAGNOSTIC MEDICINE & REHABILITATION PHYSICIANS PLLC
Entity Type:Organization
Organization Name:ELECTRODIAGNOSTIC MEDICINE & REHABILITATION PHYSICIANS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:TEMPEST
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:206-320-2675
Mailing Address - Street 1:1600 E JEFFERSON ST
Mailing Address - Street 2:SUITE 620
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-5698
Mailing Address - Country:US
Mailing Address - Phone:206-320-2675
Mailing Address - Fax:206-320-4302
Practice Address - Street 1:1600 E JEFFERSON ST
Practice Address - Street 2:SUITE 620
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-5698
Practice Address - Country:US
Practice Address - Phone:206-320-2675
Practice Address - Fax:206-320-4302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-03
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty