Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | MD00020830 | WA |
NPI | 1114016177 |
---|---|
Provider Name | Elizabeth Strickland |
First Address | Seattle, WA 98101-1873 |
Second Address | Seattle, WA 98101-2756 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2006 |
Last Update Date | 06/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0039592 | LABOR AND INDUSTRIES # (01) | WA |
1007863 | (05) | WA |
7176 ST | BLUE SHIELD # (01) | WA |
F06071 | (02) | |
P00256130 | RAILROAD MC# (01) | WA |
US40660857 | AETNA SPECIALIST PIN (01) | WA |