Individual
DANE NIMAKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2211 QUEEN ANNE AVE N, SEATTLE, WA 98109-2367
(206) 861-8500
(206) 861-8501
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60936034
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2135203
—
WA
Enumeration date
05/01/2016
Last updated
11/19/2025
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