Individual
MR. TRENT LANE TREDWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
737 OLIVE WAY APT 2502, SEATTLE, WA 98101-3751
(206) 623-1334
(206) 623-1677
Mailing address
737 OLIVE WAY APT 2502, SEATTLE, WA 98101-3751
(206) 623-1334
(206) 623-1677
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD00043699
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0232078
L&I
WA
05
—
1013074558
—
WA
01
—
320940
INTERNAL ID-MOTOR VEHICLE ID
—
Enumeration date
01/03/2007
Last updated
12/27/2016
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