Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0401X | Family Doctor - Addiction Medicine | MD00038867 | WA |
NPI | 1588708176 |
---|---|
Provider Name | Steven K Burrows |
First Address | Everett, WA 98201-3832 |
Second Address | Everett, WA 98201-3832 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2007 |
Last Update Date | 19/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8262479 | (05) | WA |
H32084 | (02) | WA |