Individual
DR. CORAL D. HANEVOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4800 SAND POINT WAY NE, MAILSTOP A-7931, SEATTLE, WA 98105-3901
(206) 987-2524
(206) 987-2636
Mailing address
4800 SAND POINT WAY NE, MAILSTOP A-7931, SEATTLE, WA 98105-3901
(206) 987-2524
(206) 987-2636
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
MD00048253
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TL2833
—
SC
Enumeration date
08/30/2006
Last updated
09/15/2007
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