Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD60496095 | WA |
N | 111NI0900X | Internist | MD60496095 | WA |
NPI | 1003181405 |
---|---|
Provider Name | Julie Reeds |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98133-8401 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2012 |
Last Update Date | 30/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1003181405 | (05) | WA |