Individual
SUSAN REED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
7910 29TH AVE SW, SEATTLE, WA 98126-3522
(206) 938-7764
Mailing address
7910 29TH AVE SW, SEATTLE, WA 98126-3522
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00010029
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111698
WA L&I
WA
01
—
RE5462
REGENCE
WA
Enumeration date
01/10/2007
Last updated
07/08/2007
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