Individual
MARY KATHRYN THAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3101 NORTHUP WAY STE 201, BELLEVUE, WA 98004-1449
(425) 455-3600
(425) 455-3920
Mailing address
510 8TH AVE NE STE 320, ISSAQUAH, WA 98029-5436
(425) 455-3600
(425) 455-3920
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD60773007
WA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
MD60773007
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2037339
—
WA
Enumeration date
04/16/2014
Last updated
05/13/2024
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