Individual
ANITA E TSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12728 19TH AVE. SE, SUITE 200, EVERETT, WA 98208-6647
(425) 252-1116
(425) 252-1118
Mailing address
12728 19TH AVE SE, SUITE 200, EVERETT, WA 98208-6647
(425) 252-1116
(425) 252-1118
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
D0064666
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
236297
DEPT OF LABOR AND INDUSTRIES
WA
05
—
8513889
—
WA
01
—
P00717630
RR MEDICARE
WA
Enumeration date
07/21/2006
Last updated
04/17/2012
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