Individual
HENRY BIDWELL ELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N., W.O.C..N.
Contact information
Practice address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(206) 764-1942
(206) 764-2689
Mailing address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(206) 764-1942
(206) 764-2689
Taxonomy
Speciality
Code
Description
License number
State
163WE0900X
Enterostomal Therapy Registered Nurse
Primary
RN00102017
WA
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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