Individual
MICHELLE ANGELIKA KAUFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5708 E LAKE SAMMAMISH PKWY SE STE 102, ISSAQUAH, WA 98029-8942
(425) 688-5488
(425) 233-6869
Mailing address
5708 E LAKE SAMMAMISH PKWY SE STE 102, ISSAQUAH, WA 98029-8942
(425) 688-5488
(425) 233-6869
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP60454388
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R1919
RESIDENCY TRAINING PERMIT NUMBER
AZ
Enumeration date
06/14/2011
Last updated
05/09/2019
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