Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | MD00044374 | WA |
NPI | 1003907619 |
---|---|
Provider Name | Kevin L. Pieper |
First Address | Portland, OR 97208-3360 |
Second Address | Everett, WA 98201-4168 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2006 |
Last Update Date | 10/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8416083 | (05) | WA |
G8851210 | (02) | WA |
H78933 | (02) | WA |