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Individual

BRENDA SUE HOUMARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
UWMC-ROOSEVELT, 4245 ROOSEVELT WAY NE, SEATTLE, WA 98105-4765
(206) 598-5500
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD00036136
WA
207VE0102X
Reproductive Endocrinology Physician
Primary
MD00036136
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
160054095
RAILROAD MEDICARE
WA
05
1649350612
WA
01
234040
INTERNAL ID-MOTOR VEHICLE ID
Enumeration date
10/16/2006
Last updated
06/07/2011
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