Individual
MYRA HORIUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7315 212TH ST SW, EDMONDS, WA 98026-7610
(425) 775-9474
Mailing address
1145 BROADWAY FL 2, SEATTLE, WA 98122-4201
(206) 860-5414
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00035077
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8227282
—
WA
Enumeration date
09/15/2006
Last updated
06/20/2024
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