Individual
ANITA CASSIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6520 226TH PL SE, SUITE 205, ISSAQUAH, WA 98027-8969
(425) 392-8611
(425) 392-9012
Mailing address
6520 226TH PL SE, SUITE 205, ISSAQUAH, WA 98027-8969
(425) 392-8611
(425) 392-9012
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00023184
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6525CA
REGENCE
WA
01
—
P00429699
RAILROAD MEDICARE
WA
Enumeration date
09/25/2006
Last updated
05/08/2008
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