Individual
DR. IAN M HUMPHREYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-4022
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
OP60569306
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356573372
—
WA
Enumeration date
08/10/2009
Last updated
09/16/2015
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