Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 60745494 | WA |
Y | 111NI0900X | Internist | 60745494 | WA |
N | 207SG0201X | Clinical Genetics (M.D.) | 60745494 | WA |
N | 208000000X | Pediatrician | 60745494 | WA |
NPI | 1457797961 |
---|---|
Provider Name | Dr. Amanda Sarah Freed |
First Address | Seattle, WA 98101-2756 |
Second Address | Seattle, WA 98105-5041 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2013 |
Last Update Date | 13/02/2020 |