Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MD00030689 | WA |
N | 207XS0117X | Orthopaedic Spine Surgeon | MD00030689 | WA |
NPI | 1023088374 |
---|---|
Provider Name | Timothy Hayes Massey |
First Address | Kirkland, WA 98034-7210 |
Second Address | Kirkland, WA 98034-7210 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
48820 | DEPT. OF LABOR & INDUSTRI (01) | WA |
8154072/7040033 | (05) | WA |
D13564 | (02) | WA |
MA6448 | REGENCE BLUE SHIELD NUMBE (01) | WA |