Individual
BETHANY GRACE CAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
747 BROADWAY, SEATTLE, WA 98122-4307
(206) 386-6000
Mailing address
747 BROADWAY, SEATTLE, WA 98122-4379
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
61429455
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2023
Last updated
06/21/2023
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