Individual
R. BLAIR EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1101 MADISON ST, SUITE 600, SEATTLE, WA 98104-1306
(206) 215-2020
(206) 215-2022
Mailing address
1101 MADISON ST, SUITE 600, SEATTLE, WA 98104-1306
(206) 215-2004
(206) 215-2055
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD00018428
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0036110
LABOR & INDUSTRIES
WA
01
—
180016726
RAILROAD MEDICARE
—
05
—
8163107
—
WA
01
—
E781
REGENCE HEALTHCARE
—
Enumeration date
01/04/2006
Last updated
07/08/2007
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