Individual
MAKEDA E AGONAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 690-3585
(425) 690-9585
Mailing address
3600 LIND AVE SW, SUITE 100 ATTN CREDENTIALING, RENTON, WA 98057-4970
(425) 690-2715
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD60638977
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2036280
—
WA
Enumeration date
04/24/2013
Last updated
07/21/2022
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