Individual
DR. SAMUEL PIERCE MANDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 9TH AVE, BOX 359796, SEATTLE, WA 98104-2420
(206) 744-3140
Mailing address
325 9TH AVE, BOX 359796, SEATTLE, WA 98104-2420
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD00048682
WA
2086S0102X
Surgical Critical Care Physician
T0850
TX
2086S0127X
Trauma Surgery Physician
Primary
T0850
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0293856
L&I
WA
05
—
1669581427
—
WA
01
—
MD00048682
MEDICAL LICENSE
WA
Enumeration date
08/29/2006
Last updated
12/22/2025
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