Individual
WORTH EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1415 E KINCAID STREET, MOUNT VERNON, WA 98274-9126
(360) 424-4111
Mailing address
1415 E KINCAID STREET, MOUNT VERNON, WA 98274-4126
(360) 424-4111
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD072324L
PA
207P00000X
Emergency Medicine Physician
Primary
MD48800
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018307500001
—
PA
05
—
8503526
—
WA
Enumeration date
06/06/2006
Last updated
09/08/2008
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