Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MD60772991 | WA |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | MD60772991 | WA |
Y | 207XX0801X | Orthopaedic Trauma Surgeon | MD60772991 | WA |
NPI | 1447679816 |
---|---|
Provider Name | Erik Arthur Magnusson |
First Address | Issaquah, WA 98029-5436 |
Second Address | Bellevue, WA 98004-3812 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2014 |
Last Update Date | 26/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2037329 | (05) | WA |
429676 | WA LABOR & INDUSTRIES (01) | WA |