Individual
BLAIR BEVERLY WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1550 N 115TH ST, SEATTLE, WA 98133-8401
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD60216894
WA
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
MD60216894
WA
207VG0400X
Gynecology Physician
MD60216894
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477705168
—
WA
01
—
P01144441
RAILROAD MEDICARE
WA
Enumeration date
10/14/2008
Last updated
12/08/2021
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