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Organization

CENTRAL SEATTLE PANEL OF CONSULTANTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. IRENE MARIE SUVER (OWNER)
(206) 622-2305
Entity
Organization

Contact information

Practice address
411 12TH AVE STE 300, SEATTLE, WA 98122-5523
(206) 622-2305
(206) 343-9364
Mailing address
411 12TH AVE STE 300, SEATTLE, WA 98122-5523
(206) 622-2305
(206) 343-9364

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
52670
WA L&I PROVIDER NUMBER
WA
Enumeration date
09/19/2013
Last updated
03/04/2020
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