Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | MD00046859 | WA |
Y | 2084N0600X | Clinical Neurophysiologist | MD00046859 | WA |
NPI | 1013023324 |
---|---|
Provider Name | Dr. John Christopher Oakley |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98195-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2006 |
Last Update Date | 27/07/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0231653 | L&I (01) | WA |
1013023324 | (05) | WA |
8861924 | MEDICARE PIN (01) | WA |
I62314 | (02) | WA |