Individual
GORDON A IRVING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 MADISON ST, STE 200, SEATTLE, WA 98104-1306
(206) 386-2013
(206) 386-2149
Mailing address
1101 MADISON ST, STE 200, SEATTLE, WA 98104-1306
(206) 386-2013
(206) 386-2149
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00036551
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0144876
LABOR AND INDUSTRIES
WA
05
—
8235160
—
WA
Enumeration date
12/21/2006
Last updated
07/08/2007
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