Individual
MR. TIMOTHY R HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7554 15TH AVE NW, BALLARD PEDIATRIC CLINIC, SEATTLE, WA 98117
(206) 783-9300
(206) 588-0531
Mailing address
7554 15TH AVE NW, BALLARD PEDIATRIC CLINIC, SEATTLE, WA 98117
(206) 783-9300
(206) 588-0531
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
200100885
NC
208000000X
Pediatrics Physician
Primary
MD60217406
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891297T
—
NC
Enumeration date
06/22/2005
Last updated
03/07/2013
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