Individual
BARBARA S MENDREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12900 NE 180TH ST, BOTHELL, WA 98011-5773
(425) 424-2100
Mailing address
12900 NE 180TH ST, BOTHELL, WA 98011-5773
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00033694
WA
207QA0401X
Addiction Medicine (Family Medicine) Physician
MD00033694
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7110687
—
WA
Enumeration date
07/10/2006
Last updated
10/14/2021
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