Individual
ANNETTE BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
16045 1ST AVE S FL 2, BURIEN, WA 98148-1401
(206) 965-4200
Mailing address
16045 1ST AVE S FL 2, BURIEN, WA 98148-1401
(206) 965-4200
(253) 985-6879
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD60085555
WA
207V00000X
Obstetrics & Gynecology Physician
MT186040
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2002905
—
WA
Enumeration date
05/15/2007
Last updated
12/01/2020
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