Individual
DR. KATRINA MAE DIPPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4800 SAND POINT WAY NE # OC9.850, SEATTLE, WA 98105
(206) 987-2056
(206) 987-2495
Mailing address
4800 SAND POINT WAY NE # OC9.850, SEATTLE, WA 98105-3901
(206) 987-2056
(206) 987-2495
Taxonomy
Speciality
Code
Description
License number
State
207SG0202X
Clinical Biochemical Genetics Physician
Primary
A61420
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A614200
—
CA
Enumeration date
07/20/2006
Last updated
11/28/2018
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