Individual
DR. ELIZABETH HERSETH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1810 116TH AVE NE, BELLEVUE, WA 98004
(425) 453-1039
(425) 453-8955
Mailing address
1810 116TH AVE NE, BELLEVUE, WA 98004
(425) 453-1039
(425) 453-8955
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00022114
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007814
—
WA
Enumeration date
11/29/2005
Last updated
07/08/2007
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