Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD00038965 | WA |
Y | 2080P0216X | Pediatric Rheumatologist | MD00038965 | WA |
NPI | 1093891772 |
---|---|
Provider Name | Troy Torgerson |
First Address | Seattle, WA 98105-3900 |
Second Address | Seattle, WA 98105-3901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2006 |
Last Update Date | 12/02/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
235860 | INTERNAL ID-MOTOR VEHICLE ID (01) | |
8394777 | (05) | WA |
I05733 | (02) |