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Individual

MARJORIE L. STROM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
325 9TH AVE, SEATTLE, WA 98104-2499
(206) 744-3000
Mailing address
BOX 359797, 325 9TH AVE, SEATTLE, WA 98104-2499
(206) 744-9600
(206) 744-9920

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP30003735
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP30003735
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0155130
L&I PIN
WA
01
62208U
REGENCE BLUE SHIELD PIN
WA
05
9627266
WA
Enumeration date
05/16/2006
Last updated
06/24/2011
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