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Individual

ALAN O HAAKENSTAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD.

Contact information

Practice address
12800 BOTHELL EVERETT HWY, SUITE180, EVERETT, WA 98208-6642
(425) 316-5130
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(866) 366-2983

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD00012063
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8127938
WA
Enumeration date
07/07/2006
Last updated
02/13/2015
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