Individual
MICHAEL VIDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1040 S HENDERSON ST, SEATTLE, WA 98108-4720
(855) 289-4503
Mailing address
550 16TH AVE STE 400, SEATTLE, WA 98122-5636
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/01/2026
Last updated
04/01/2026
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