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Individual

ELIZABETH EAMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
23213 PACIFIC HWY S, KENT, WA 98032-2721
(253) 520-1400
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60114665
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0285247
L&I
WA
05
1194950188
WA
Enumeration date
05/20/2009
Last updated
08/28/2012
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