Individual
KATELAN HAUCK LONGFELLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 543-6420
Mailing address
18118 26TH DR SE, BOTHELL, WA 98012-9315
(425) 354-9846
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD60385036
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245469279
—
WA
Enumeration date
07/12/2009
Last updated
12/18/2015
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