Individual
ANN N CHAMPOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2671 NE 46TH ST, SEATTLE, WA 98105-5041
(206) 525-8000
(206) 525-8070
Mailing address
1100 9TH AVE, MS: M4-PFS, SEATTLE, WA 98101-2756
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00021525
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039577
LABOR & INDUSTRY
WA
05
—
1082445
—
WA
01
—
CH8429
BLUE SHIELD
WA
01
—
US0899652
AETNA/USHC PCP
WA
01
—
US4119957
AETNA/USHC SPECIALIST
WA
Enumeration date
07/03/2006
Last updated
11/26/2013
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