Individual
KRISTIE L BLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19116 33RD AVE W, LYNNWOOD, WA 98036-4706
(425) 771-7500
(425) 712-7903
Mailing address
1100 OLIVE WAY STE 401 # M4-PA, SEATTLE, WA 98101-1873
(206) 583-6025
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00042594
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8396079
—
WA
01
—
P00389474
RAILROAD MEDICARE
WA
Enumeration date
02/20/2007
Last updated
11/25/2013
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