Individual
DR. MARTINA MARY KOLLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
320 NE 97TH ST STE C, SEATTLE, WA 98115-2042
(206) 656-7999
(206) 902-2006
Mailing address
320 NE 97TH ST STE C, SEATTLE, WA 98115-2042
(206) 656-7999
(206) 902-2006
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00027370
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0180024
LNI WA STATE
WA
05
—
1118678
—
WA
Enumeration date
01/21/2007
Last updated
02/16/2025
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