Individual
LINDA WETZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1660 S COLUMBIAN WAY, MS-111, SEATTLE, WA 98108-1532
(206) 277-4200
Mailing address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
AP30003714
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114001062
VETERANS AFFAIRS
WA
Enumeration date
10/25/2006
Last updated
10/18/2007
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