Individual
ALICIA CANTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1401 MADISON ST STE 100, SEATTLE, WA 98104-1316
(206) 386-6111
(206) 386-6113
Mailing address
1200 12TH AVE S, SEATTLE, WA 98144-2712
(206) 326-2400
(206) 621-4434
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A129603
CA
207Q00000X
Family Medicine Physician
Primary
MD60577166
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457627259
—
WA
Enumeration date
03/26/2012
Last updated
05/03/2021
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