Individual
ELISA KODAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 624-1144
Mailing address
6808 39TH AVE NE, SEATTLE, WA 98115-7443
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/01/2026
Last updated
04/01/2026
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