Individual
DR. COURTNEY ANNE CANAVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1601 5TH AVE, SEATTLE, WA 98101-3621
(206) 623-7671
Mailing address
275 W ROY ST, #410, SEATTLE, WA 98119-4520
(206) 285-4857
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00043403
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8394124
—
WA
Enumeration date
10/26/2006
Last updated
10/07/2020
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