Individual
OTWAY LOUIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD60033934
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124219514
—
WA
Enumeration date
08/09/2007
Last updated
11/04/2019
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