Individual
ELIZABETH LOUISE BOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 583-2299
Mailing address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 583-2299
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-135372
IL
207R00000X
Internal Medicine Physician
Primary
MD60843161
WA
Other
Enumeration date
05/13/2011
Last updated
10/05/2021
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