Individual
DR. TAYLOR GORDON SANDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-3000
Mailing address
6366 HEATHER RIDGE WAY, OAKLAND, CA 94611-1206
(510) 316-5297
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00044989
WA
207RI0200X
Infectious Disease Physician
Primary
MD00044989
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0247881
LABOR & INDUSTRIES
WA
05
—
8427510
—
WA
Enumeration date
05/28/2006
Last updated
08/19/2011
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