Individual
MARC D AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1959 NE PACIFIC ST, BOX 356560, SEATTLE, WA 98195-6560
(206) 685-1819
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00030730
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235352329
—
WA
Enumeration date
04/10/2007
Last updated
07/13/2012
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