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Organization

HAWTHORNE HILLS INTERNAL MEDICINE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BARBARA J ROBERTS (MANAGER)
(206) 523-9195
Entity
Organization

Contact information

Practice address
4026 NE 55TH ST, STE F, SEATTLE, WA 98105-2262
(206) 523-9195
(206) 523-5399
Mailing address
4026 NE 55TH ST, STE F, SEATTLE, WA 98105-2262
(206) 523-9195
(206) 523-5399

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00020845
WA
207R00000X
Internal Medicine Physician
Primary
MD00021170
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7096290
WA
Enumeration date
04/17/2007
Last updated
05/18/2011
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