Individual
MELANIE SADAE ITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4400 37TH AVE S, SEATTLE, WA 98118-1609
(206) 296-4650
(206) 205-6075
Mailing address
5000 26TH AVE S, SEATTLE, WA 98108-2020
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00028911
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8138216
—
WA
Enumeration date
11/15/2006
Last updated
07/08/2007
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