Individual
SAM RAND TAAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
904 7TH AVE, SEATTLE, WA 98104-1132
(206) 860-5413
(206) 720-7413
Mailing address
904 7TH AVE, SEATTLE, WA 98104-1132
(206) 860-5413
(206) 720-7413
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00041216
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2036108
—
WA
01
—
331530
L&I
—
Enumeration date
05/23/2006
Last updated
01/27/2015
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