Individual
ANGELEA L BUSHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
805 MADISON ST STE 401, SEATTLE, WA 98104-1172
(206) 568-3800
Mailing address
1311 12TH AVE S APT A105, SEATTLE, WA 98144-3465
(206) 574-8446
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60141834
WA
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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