Individual
DONALD E BORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
G89370
CA
207ZN0500X
Neuropathology Physician
MD00029902
WA
207ZP0101X
Anatomic Pathology Physician
G89370
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G89370
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD00029902
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0230841
L&I
WA
05
—
1538259486
—
WA
01
—
7967
INTERNAL ID-MOTOR VEHICLE ID
—
01
—
P00215383
RAILROAD MEDICARE
WA
Enumeration date
10/13/2006
Last updated
03/13/2024
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