NPI 1689557290 · live from the CMS NPI Registry
Ageright Clinical Services Wa, PLLC
Family Medicine, Geriatric Medicine in Redmond, WA. National Provider Identifier 1689557290, active.
NPI record
| NPI | 1689557290 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine, Geriatric Medicine 207QG0300X |
| Practice location | 14729 Ne 87th St, Redmond, WA 98052 |
| Practice phone | 971-206-5200 |
| Mailing address | 4560 Se International Way Ste 100, Milwaukie, OR 97222 |
| Enumerated | July 30, 2025 |
| Last updated | May 14, 2026 |
| Authorized official | Staci Tone, Controller |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family | 363LF0000X | — |
| Physician Assistant | 363A00000X | — |
| Nurse Practitioner, Gerontology | 363LG0600X | — |
| Family Medicine, Geriatric Medicine primary | 207QG0300X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.