Dr. Peter Brierley Odland
MOHS-Micrographic Surgeon
1229 Madison St Suite 1480
Seattle
, Washington 98104-3586
Dr. Peter Brierley Odland
MOHS-Micrographic Surgeon
1229 Madison St Suite 1480
Seattle
, Washington 98104-3586
(206) 346-6022
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About
Features
Specialties
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Peter Brierley Odland
- 1229 Madison St Suite 1480
- Seattle, WA
- Zip : 98104-3586
- Fax : (206) 346-6022
- Phone : (206) 346-6647
Second Address
- Dr. Peter Brierley Odland
- 1229 Madison St Suite 1480
- Seattle, WA
- Zip : 98104-3586
- Fax : (206) 346-6022
- Phone : (206) 346-6647
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207ND0101X | MOHS-Micrographic Surgeon | MD00026929 | WA |
National Provider Identifier
| NPI | 1093896102 |
|---|---|
| Provider Name | Dr. Peter Brierley Odland |
| First Address | Seattle, WA 98104-3586 |
| Second Address | Seattle, WA 98104-3586 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/10/2006 |
| Last Update Date | 07/02/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 8722OD | BLUE CROSS BLUE SHIELD (01) | |
| AO3661 | (02) | WA |
| OD4638 | BLUE CROSSBLUE SHIELD (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.