Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 60166380 | WA |
N | 208200000X | Surgeon | 60166380 | WA |
N | 208600000X | Surgeon | 60166380 | WA |
NPI | 1063420586 |
---|---|
Provider Name | Stephen Corrigan Rayhill |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98195-6410 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2006 |
Last Update Date | 07/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0264906 | LNI (01) | WA |
1063420586 | (05) | WA |
G60025 | (02) |