Individual
STEVEN G COLWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO BOCO LPO
Contact information
Practice address
6509 NE 181ST ST, KENMORE, WA 98028-4801
(206) 440-1811
(425) 488-3025
Mailing address
6509 NE 181ST ST, KENMORE, WA 98028-4801
(206) 440-1811
(425) 488-3025
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
00000160
WA
1744P3200X
Prosthetics Case Management
Primary
00000161
WA
Other
Enumeration date
05/09/2013
Last updated
05/09/2013
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