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Individual

AUDRIANA LORAINE MOOTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
1455 NW LEARY WAY STE 350, SEATTLE, WA 98107-5140
(206) 668-6100
(206) 668-6101
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP61533074
WA

Other

Enumeration date
03/15/2019
Last updated
09/09/2025
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