Individual
DR. PHILIP D. FELICIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 16TH AVE E, SEATTLE, WA 98112-5226
(206) 326-3000
Mailing address
201 16TH AVE E, SEATTLE, WA 98112-5226
(206) 326-3000
(206) 326-2785
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD00014810
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
177308
L&I PROVIDER NUMBER
WA
05
—
8309874
—
WA
Enumeration date
12/30/2005
Last updated
04/05/2021
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