Individual
PAUL B HOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4800 SAND POINT WAY NE # OC.7830, SEATTLE, WA 98105-3901
(206) 987-2525
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD60961869
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144682980
—
WA
Enumeration date
03/22/2016
Last updated
07/03/2019
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