Individual
AMY LEE VANBLARICOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
UWMC-ROOSEVELT, 4245 ROOSEVELT WAY NE, SEATTLE, WA 98105-4765
(206) 598-5500
Mailing address
180 NEWPORT CENTER DR, SUITE 265, NEWPORT BEACH, CA 92660-0900
(949) 706-0181
(949) 706-7187
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD00035418
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3090
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
8216145
—
WA
Enumeration date
11/03/2006
Last updated
04/23/2010
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