Individual
THELBEN MULLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4744 41ST AVE SW STE 101, SEATTLE, WA 98116-4566
(206) 320-5780
(206) 320-5794
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD60754595
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2036291
—
WA
Enumeration date
04/02/2014
Last updated
06/27/2025
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