Individual
RITA M MANGIONE-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1730 MINOR AVE STE 1600, SEATTLE, WA 98101-1466
(206) 287-2500
Mailing address
1730 MINOR AVE, SEATTLE, WA 98101-1404
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00045641
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2038189
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
8430886
—
WA
Enumeration date
10/13/2006
Last updated
04/27/2021
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