Individual
DR. DIANA E DUNDORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 LAKE PARK DR S, SEATTLE, WA 98144-5609
(206) 725-8557
Mailing address
2500 LAKE PARK DR S, SEATTLE, WA 98144-5609
(206) 725-8557
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
252-09 0015045
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18390
LABOR AND INDUSTRIES
WA
05
—
1923804
—
WA
Enumeration date
12/05/2006
Last updated
07/08/2007
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