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Individual

DR. FREDRICA C OVERSTREET

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
325 9TH AVE, SUITE 2075, SEATTLE, WA 98104-2420
(206) 744-8274
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00037897
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1437277886
WA
01
317580
L&I
WA
Enumeration date
03/26/2007
Last updated
01/06/2014
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