Organization
PABLO R PROANO MD PS
Active
Organization
PABLO R PROANO MD PS
Active
Other names
PABLO R PROANO MD PS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PABLO R PROANO MD (MD CORPORATE PRESIDENT)
(206) 386-3103
Entity
Organization
Contact information
Practice address
1229 MADISON ST, STE 1210, SEATTLE, WA 98104-3586
(206) 386-3103
(206) 386-3123
Mailing address
17719 PAC AVE S VALLEY WEST BILLING SVC, PMB 431, SPANAWAY, WA 98387-8334
(253) 847-9195
(253) 847-9292
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20243
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1030220
—
WA
Enumeration date
04/02/2007
Last updated
08/22/2020
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