Individual
JAMES B BUSHYHEAD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
515 MINOR AVE, STE 300, SEATTLE, WA 98104-2120
(206) 386-9500
(206) 386-9605
Mailing address
515 MINOR AVE, SUITE 220, SEATTLE, WA 98104-2120
(206) 386-9500
(206) 576-3802
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00013282
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49321
L & I
WA
01
—
5891740001
DME
WA
05
—
8152340
—
WA
01
—
BU5332
REGENCE
WA
Enumeration date
09/30/2005
Last updated
03/06/2008
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