Healthcare Provider Details

I. General information

NPI: 1023265188
Provider Name (Legal Business Name): ROMELIA PEREZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2008
Last Update Date: 08/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1611 116TH AVE NE SUITE 132
BELLEVUE WA
98004-3045
US

IV. Provider business mailing address

2023 92ND AVE NE
CLYDE HILL WA
98004-2504
US

V. Phone/Fax

Practice location:
  • Phone: 206-795-9797
  • Fax:
Mailing address:
  • Phone: 206-795-9797
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberMD00032818
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: