Individual
MARTIN PAUL ROSS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4744 41ST AVE SW, STE 102, SEATTLE, WA 98116
(206) 932-0880
(206) 932-3738
Mailing address
4744 41ST AVE SW, STE 102, SEATTLE, WA 98116
(206) 932-0880
(206) 932-3738
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00033296
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0174746
L & I
WA
05
—
1109370
—
WA
01
—
P00211319
RAILROAD MEDICARE
WA
Enumeration date
03/03/2006
Last updated
07/08/2007
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