Individual
KATHERINE D. BUMSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4112 HARBOUR POINTE BLVD SW, SUITE 100, MUKILTEO, WA 98275-5457
(425) 347-6330
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(866) 366-2983
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00037555
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8245367
—
WA
Enumeration date
09/25/2006
Last updated
02/06/2015
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