Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD00017598 | WA |
N | 111NI0900X | Internist | MD00017598 | WA |
Y | 207SG0201X | Clinical Genetics (M.D.) | MD00017598 | WA |
NPI | 1083799803 |
---|---|
Provider Name | Wendy H Raskind |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98195-6127 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2006 |
Last Update Date | 02/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0231903 | L&I (01) | WA |
1083799803 | (05) | WA |
1767 | INTERNAL ID-MOTOR VEHICLE ID (01) | |
A05429 | (02) |