Individual
GINGER RAE RUDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 12TH AVE S, SEATTLE, WA 98144-2712
(206) 326-2400
Mailing address
1200 12TH AVE S, SEATTLE, WA 98144-2712
(206) 326-2400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00042622
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8435497
—
WA
Enumeration date
01/17/2007
Last updated
07/08/2007
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