Individual
MARTIN K CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, PHD
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-4295
(206) 598-2813
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OP60268790
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0296281
L&I
WA
05
—
1669408027
—
WA
Enumeration date
06/25/2006
Last updated
12/21/2012
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