Individual
EMMANUEL BOATENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
747 BROADWAY, SEATTLE, WA 98122-4379
(206) 215-2520
(206) 386-3180
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
188541
CA
207R00000X
Internal Medicine Physician
Primary
MD61670903
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2342158
—
WA
Enumeration date
04/05/2020
Last updated
02/23/2026
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