Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | MD00038290 | WA |
NPI | 1003897968 |
---|---|
Provider Name | Dr. Sheri Tamaddon |
First Address | Burien, WA 98148-0159 |
Second Address | Burien, WA 98166-3017 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0174187 | DEPT OF LABOR & INDUSTRIE (01) | WA |
3204TA | REGENCE BLUE SHIELD (01) | WA |
8357790 | (05) | WA |
8931513 | CRIME VICTIMS PGM (01) | WA |
H49085 | (02) |