SearchWashingtonGeriatric Medicine (Internal Medicine) Physician

Marissa Black, M.D

NPI 1114269735 · on the registry since 2013

Practice

Address
11521 Ne 128th St Ste 100
Kirkland, WA 98034
Phone
(425) 899-6800
Fax
(425) 899-6818
Organisation at this address
Evergreenhealth
Evergreen Radia Llc
King County Public Hospital District No 2
King County Public Hospital District No 2
Inferred from a shared address, not stated in the registry.
Clinicians at this address
19

Additional practice sites

  • 1660 S Columbian Way, Seattle, WA
  • 325 9th Ave, Seattle, WA
  • 11521 Ne 128th St Ste 100, Kirkland, WA

Registry record

Primary taxonomy
Geriatric Medicine (Internal Medicine) Physician
207RG0300X
Also registered as
Geriatric Medicine (Internal Medicine) Physician
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-07-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington