Individual
DR. RAUL BORROMEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21601 76TH AVE W, EDMONDS, WA 98026-7507
(425) 640-4100
Mailing address
PO BOX 34936, DEPT 3028, SEATTLE, WA 98124-1936
(888) 398-2473
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
000-33680
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1098771
—
WA
01
—
168559
WA L & I
—
01
—
910861251
PREMERA BC
—
01
—
A010
CHAMPUS
—
01
—
BO0099
REGENCE BS
—
01
—
G30910
GROUP HEALTH
—
Enumeration date
06/02/2006
Last updated
03/22/2011
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