Individual
CORBIN D TUDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004072
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039594
LABOR AND INDUSTRIES #
WA
01
—
2541TU
BLUE SHIELD #
WA
05
—
8329260
—
WA
01
—
970021752
RAILROAD MC#
WA
01
—
US2439370
AETNA SPECIALIST PIN
WA
Enumeration date
01/15/2007
Last updated
03/24/2015
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