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Individual

KAREN BETTY TOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
9801 FRONTIER AVE SE, SNOQUALMIE, WA 98065-5200
(425) 831-2321
(425) 831-2361
Mailing address
9801 FRONTIER AVE SE, SNOQUALMIE, WA 98065-5200
(425) 831-2300
(425) 831-2361

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00016406
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
62013
LABOR & INDUSTRIES
WA
05
8341802
WA
01
U72583
REGENCE BLUESHIELD
WA
Enumeration date
06/06/2006
Last updated
04/17/2015
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