Individual
MR. TAKETO WATASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 744-3074
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD60281957
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568666428
—
WA
Enumeration date
06/13/2007
Last updated
07/09/2012
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