Individual
MARTHA MOTUZ LEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3260 NW MOUNT VINTAGE WAY, SILVERDALE, WA 98383-6000
(360) 698-9500
Mailing address
3260 NW MOUNT VINTAGE WAY, SILVERDALE, WA 98383-6000
(360) 698-9500
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD 00030889
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145808
L&I
WA
01
—
180041110
RAIL ROAD MEDICARE
WA
01
—
2662LE
REGENCE BCBS
WA
05
—
8151772
—
WA
01
—
911013662
PREMERA BCBS
WA
Enumeration date
08/09/2005
Last updated
05/23/2008
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