Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | MD60744766 | WA |
NPI | 1053678326 |
---|---|
Provider Name | Elena K Rinehardt |
First Address | Bellevue, WA 98004-4623 |
Second Address | Bellevue, WA 98004-4623 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2012 |
Last Update Date | 23/12/2017 |