Individual
MITCHEL DEAN STOREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10330 MERIDIAN AVE N, 300, SEATTLE, WA 98133
(206) 368-6100
(206) 368-6101
Mailing address
10330 MERIDIAN AVE N, 300, SEATTLE, WA 98133
(206) 368-6100
(206) 368-6101
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP00000913
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1060037
—
WA
Enumeration date
06/09/2006
Last updated
07/29/2016
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