Individual
DR. MARIE BLEAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 288-1000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
MD00041330
WA
208000000X
Pediatrics Physician
MD00041330
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0230825
L&I
WA
05
—
1073695227
—
WA
Enumeration date
10/19/2006
Last updated
01/24/2012
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