Individual
CORINNE S HEINEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2505 2ND AVE, SUITE 200, SEATTLE, WA 98121-1452
(206) 443-0400
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00030196
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080161053
RAILROAD MEDICARE
WA
05
—
8144727
—
WA
01
—
97110
INTERNAL ID-MOTOR VEHICLE ID
—
Enumeration date
10/27/2006
Last updated
08/27/2012
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