Organization
RAINBOW PEDIATRICS, LLC
Active
Other names
The Kids Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL A DOROSHOW M.D. (OWENER)
(206) 957-1881
Entity
Organization
Contact information
Practice address
12317 15TH AVE NE, SUITE 103, SEATTLE, WA 98125-4871
(206) 957-1881
(206) 957-1895
Mailing address
12317 15TH AVE NE, SUITE 103, SEATTLE, WA 98125
(206) 957-1881
(206) 957-1895
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00020986
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1072255
—
WA
01
—
4215844
AETNA
—
01
—
6585DO
REGENCE
WA
01
—
A09275
UPIN
WA
01
—
P594301
PREMERA
—
Enumeration date
12/13/2007
Last updated
12/13/2007
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