Individual
DR. EMMY NAKASU DAVISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
21911 76TH AVE W, SUITE 110, EDMONDS, WA 98026-7918
(425) 640-4950
(425) 640-4958
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60490100
WA
207Q00000X
Family Medicine Physician
ML60293604
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2020610
—
WA
01
—
ML60293604
LIMITED MEDICAL LICENSE NUMBER
WA
Enumeration date
06/29/2012
Last updated
10/07/2020
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