Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | 60612887 | WA |
N | 2080P0207X | Pediatric Hematology-Oncologist | N6181 | TX |
NPI | 1215155197 |
---|---|
Provider Name | Dr. Amanda B Blair |
First Address | Seattle, WA 98105-3901 |
Second Address | Seattle, WA 98105-3901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2007 |
Last Update Date | 16/06/2016 |