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Individual

DR. PAUL F EDMONSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D.

Contact information

Practice address
2111 N. NORTHGATE WAY, #201, SEATTLE, WA 98133-0160
(206) 365-5171
Mailing address
PO BOX 66500, PORTLAND, OR 97290-6500
(503) 657-8663
(503) 723-3180

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
00038315
WA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
79260
AZ
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
00038315
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1699729699
NPI NUMBER
WA
01
220032905
MEDICARE RR
WA
05
8357626
WA
Enumeration date
05/22/2006
Last updated
03/05/2026
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