Individual
SERGII GORBACHOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1959 NE PACIFIC ST, UWMC, DEP. OF ANESTHESIOLOGY AND PAIN MEDICINE, SEATTLE, WA 98195-0001
(206) 543-6420
Mailing address
1959 NE PACIFIC ST, PO BOX 50095, SEATTLE, WA 98195-0001
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
TR60659777
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295278463
—
WA
Enumeration date
11/21/2016
Last updated
11/22/2016
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