Individual
SEAN THRUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1800 NW MYHRE RD, SILVERDALE, WA 98383-7663
(564) 340-3454
Mailing address
1800 NW MYHRE RD, SILVERDALE, WA 98383-7663
(564) 340-3454
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
OP61152499
WA
207P00000X
Emergency Medicine Physician
OT16180
PA
207R00000X
Internal Medicine Physician
OT16180
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
OP61152499
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2182662
—
WA
Enumeration date
07/17/2014
Last updated
11/24/2021
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