Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | MD60216894 | WA |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | MD60216894 | WA |
N | 207VG0400X | Gynecologist | MD60216894 | WA |
NPI | 1477705168 |
---|---|
Provider Name | Blair Beverly Washington |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98133-8401 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2008 |
Last Update Date | 08/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1477705168 | (05) | WA |
P01144441 | RAILROAD MEDICARE (01) | WA |