Individual
KIRK DAMIEN DANIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1959 NE PACIFIC ST, C-212, BOX 356340, SEATTLE, WA 98195-6340
(206) 543-0065
Mailing address
1959 NE PACIFIC ST, C-212, BOX 356340, SEATTLE, WA 98195-6340
(206) 543-0065
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD00047934
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8480550
—
WA
01
—
8865589
HARBORVIEW MEDICARE
WA
01
—
8866009
UWP MEDICARE
WA
Enumeration date
08/20/2006
Last updated
05/10/2021
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