Individual
DIANE DOERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1909 214TH ST SE, SUITE 211, BOTHELL, WA 98021-4412
(425) 420-1648
(425) 420-1649
Mailing address
1909 214TH ST SE, SUITE 211, BOTHELL, WA 98021-4412
(425) 420-1648
(425) 420-1649
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00033550
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8194698
—
WA
Enumeration date
03/03/2006
Last updated
03/23/2012
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