Individual
MOLLY ICHIKAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1609 116TH AVE NE, BELLEVUE, WA 98004-3024
(425) 283-5093
Mailing address
1609 116TH AVE NE, BELLEVUE, WA 98004-3024
(425) 283-5093
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO61544614
WA
213ES0000X
Sports Medicine Podiatrist
PO61544614
WA
213ES0103X
Foot & Ankle Surgery Podiatrist
PO61544614
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/10/2020
Last updated
05/01/2024
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