Individual
DR. GAETAN S HABEKOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4915 25TH AVE NE STE 300W, SEATTLE, WA 98105
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60824901
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437319191
—
CA
01
—
P01059336
RAILROAD MEDICARE
CA
Enumeration date
06/16/2008
Last updated
08/24/2018
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