Individual
CHARLES M. JANEWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
125 16TH AVE E, SEATTLE, WA 98112-5211
(509) 241-4349
(509) 241-7628
Mailing address
PO BOX 34581, SEATTLE, WA 98124-1581
(509) 241-7349
(509) 241-7628
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00010538
WA
207RG0100X
Gastroenterology Physician
MD00010538
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
233130
L&I
WA
05
—
8447708
—
WA
Enumeration date
12/27/2006
Last updated
08/12/2009
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