Individual
DR. ELIZABETH ANN MICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD60150794
WA
207VX0000X
Obstetrics Physician
Primary
A101359
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0293831
L&I
—
05
—
1144405119
—
WA
Enumeration date
01/08/2008
Last updated
05/27/2026
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