Healthcare Provider Details

I. General information

NPI: 1902067275
Provider Name (Legal Business Name): JAMES LEONARD NODLER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2008
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11232 NE 15TH ST STE 201
BELLEVUE WA
98004-3739
US

IV. Provider business mailing address

11232 NE 15TH ST STE 201
BELLEVUE WA
98004-3739
US

V. Phone/Fax

Practice location:
  • Phone: 425-646-4700
  • Fax: 425-646-1076
Mailing address:
  • Phone: 425-646-4700
  • Fax: 425-646-1076

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberMD61673972
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: