Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | MD00036250 | WA |
NPI | 1144263948 |
---|---|
Provider Name | Dr. Paul Curtis Hendrie |
First Address | Seattle, WA 98145 |
Second Address | Seattle, WA 98109-4405 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2006 |
Last Update Date | 05/09/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0231179 | L&I (01) | WA |
1144263948 | (05) | WA |
238290 | STAFF NUMBER (01) | WA |
H48771 | (02) | WA |