Individual
GARY E OPPENHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 17TH AVE, SUITE 450, SEATTLE, WA 98122-5788
(206) 861-8550
(206) 861-8551
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD00027825
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0194895
L & I
WA
05
—
8119877
—
WA
Enumeration date
07/12/2006
Last updated
10/07/2020
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