Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | MD00015905 | WA |
N | 207RG0100X | Gastroenterologist | MD24462 | OR |
NPI | 1003818709 |
---|---|
Provider Name | Andrew Dean Feld |
First Address | Seattle, WA 98112-5211 |
Second Address | Seattle, WA 98112-5211 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2005 |
Last Update Date | 05/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
227037 | (05) | OR |
8442501 | (05) | WA |
E99605 | (02) | OR |