Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081P2900X | Pain Medicine | MD00040561 | WA |
NPI | 1306817481 |
---|---|
Provider Name | Dr. Paul H Dreyfuss |
First Address | Seattle, WA 98124-1036 |
Second Address | Kirkland, WA 98034-7208 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2006 |
Last Update Date | 28/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
153759 | L&I # (01) | WA |
8288664 | (05) | WA |
E85597 | (02) | WA |