Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | MD60444712 | WA |
Y | 208600000X | Surgeon | MD60444712 | WA |
NPI | 1003227273 |
---|---|
Provider Name | Marie-Pascale Tremblay-Champagne |
First Address | Seattle, WA 98195 |
Second Address | Seattle, WA 98195 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2014 |
Last Update Date | 10/12/2014 |