Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | MD00031211 | WA |
N | 207PE0004X | Emergency Medical Services | MD00031211 | WA |
NPI | 1083670905 |
---|---|
Provider Name | Hillary P. Thomasser |
First Address | Lake Stevens, WA 98258-8309 |
Second Address | Seattle, WA 98122-4379 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2006 |
Last Update Date | 29/04/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8171274 | (05) | WA |
F64848 | (02) | WA |