Individual
JUSTIN EWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 BROADWAY STE 270, SEATTLE, WA 98122-5392
(206) 625-0578
(206) 625-9184
Mailing address
PO BOX 840842, DALLAS, TX 75284-0842
(206) 625-0578
(206) 625-9184
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD61563360
WA
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD61563360
WA
Other
Enumeration date
04/05/2020
Last updated
02/20/2026
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