Individual
RUTH A CONN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2671 NE 46TH ST, SEATTLE, WA 98105-5041
(206) 585-8000
(206) 525-8070
Mailing address
1100 9TH AVE, MS: M4-PFS, SEATTLE, WA 98101-2756
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00023000
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039577
LABOR AND INDUSTRIES #
WA
05
—
1008390
—
WA
01
—
CO2192
BLUE SHIELD #
WA
01
—
US0818824
AETNA PCP PIN
WA
01
—
US0899931
AETNA SPECIALIST PIN
WA
Enumeration date
11/12/2006
Last updated
11/26/2013
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