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Individual

DR. CHARLES R SIMRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2111 N. NORTHGATE WAY, #201, SEATTLE, WA 98133-0160
(206) 365-5171
Mailing address
PO BOX 66500, PORTLAND, OR 97290-6500
(503) 657-8663
(503) 723-3180

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
00030432
WA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
00030432
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1225082225
NPI NUMBER
WA
05
8188781
WA
Enumeration date
05/22/2006
Last updated
09/10/2008
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