Individual
MITCHELL ROD LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
UWMC-ROOSEVELT, 4225 ROOSEVELT WAY NE SUITE 306, SEATTLE, WA 98105-4794
(206) 598-7792
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00036640
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0175031
L&I
WA
05
—
1346326014
—
WA
01
—
4654
INTERNAL ID-MOTOR VEHICLE ID
—
Enumeration date
10/27/2006
Last updated
01/25/2012
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