Individual
THOMAS MORTON AMIDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1135-116TH AVENUE NE, SUITE 600, BELLEVUE, WA 98004
(425) 454-2656
(425) 455-2620
Mailing address
MS 315010, PO BOX 3947, SEATTLE, WA 98124-3947
(425) 467-3655
(406) 257-8996
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
12295
MT
207RC0000X
Cardiovascular Disease Physician
Primary
MD00033351
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2002512
—
WA
Enumeration date
03/30/2006
Last updated
03/12/2020
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