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Individual

DR. PABLO R PROANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
NORDSTROM MEDICAL TOWER, 1229 MADISON ST. STE.#1210, SEATTLE, WA 98104
(253) 847-9195
(253) 847-9292
Mailing address
C/O VALLEY WEST BEHAVIORAL HEALTH BILLING SVC, 17719 PACIFIC AVE S. PMB #431, SPANAWAY, WA 98387-8334
(253) 847-9195
(253) 847-9292

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20243
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1030220
WA
Enumeration date
07/03/2006
Last updated
07/08/2007
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