Physician Assistant
BELLEVUE MEDICAL CENTER
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1750754883 · enumerated 2015-11-11 · record updated 2015-11-11. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: RAYMON KOONER, President · (425) 577-1517
Addresses and phones
- Mailing address 10655 NE 4TH ST, STE 101, BELLEVUE, WA, 98004-5035 (425) 577-1517 Fax (425) 454-7767 Google Maps Apple Maps OpenStreetMap
- Practice location 10655 NE 4TH ST, STE 101, BELLEVUE, WA, 98004-5035 (425) 577-1517 Fax (425) 454-7767 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary · License PA10004437 WA
In this directory
Locations and evidence
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Practice location
BELLEVUE, WA, 980045035
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.