Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MD00036650 | WA |
Y | 207XS0106X | Orthopaedic Hand Surgeon | MD00036650 | WA |
NPI | 1134166754 |
---|---|
Provider Name | Dr. Christopher Hudson Allan |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98104 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2006 |
Last Update Date | 21/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0230640 | L&I (01) | WA |
1134166754 | (05) | WA |
G68231 | (02) |