Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | MD00017219 | WA |
NPI | 1003870023 |
---|---|
Provider Name | Timothy Edward Mcnamara |
First Address | Everett, WA 98201-1409 |
Second Address | Everett, WA 98201-1586 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2006 |
Last Update Date | 10/02/2009 |