Individual
MADELINE BORHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5300 TALLMAN AVE NW, SEATTLE, WA 98107-3932
(206) 215-2520
(206) 386-3180
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-6900
(208) 625-6910
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5441
AK
207R00000X
Internal Medicine Physician
MD60131031
WA
208M00000X
Hospitalist Physician
Primary
MC0677
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD3028
—
AK
01
—
P00255172
MEDICARE RAILROAD
AK
Enumeration date
06/30/2006
Last updated
12/16/2020
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