Individual
PETER J MANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 9TH AVE, MS:M4-PA, SEATTLE, WA 98101-2756
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00020433
WA
208M00000X
Hospitalist Physician
MD00020433
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0163081
LABOR & INDUSTRY
WA
01
—
110195818
RAILROAD MEDICARE
—
01
—
805168700
IDAHO MEDICAID
WA
05
—
8558504
—
WA
01
—
M112
BLUE SHIELD
WA
01
—
MD657WA
ALASKA MEDICAID
WA
01
—
US0861599
AETNA/USHC SPECIALIST
WA
Enumeration date
08/04/2006
Last updated
05/05/2010
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