Individual
DARIN JUSTYN DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1959 NE PACIFIC ST, BOX 356500, SEATTLE, WA 98195-6500
(206) 598-4288
(206) 598-6360
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD60205840
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0281069
L&I
WA
05
—
1376837062
—
WA
Enumeration date
05/31/2011
Last updated
04/19/2012
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