Individual
NICHOLAS PETE POOLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
HARBORVIEW MEDICAL CENTER, 325 9TH AVE, SEATTLE, WA 98104-9745
(206) 731-3576
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
Primary
MD00040556
WA
2084N0400X
Neurology Physician
MD00040556
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0231876
L&I
WA
05
—
1205916277
—
WA
01
—
284420
INTERNAL ID-MOTOR VEHICLE ID
—
Enumeration date
10/16/2006
Last updated
12/18/2024
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