Individual
RICHARD MICHAEL ACTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1959 NE PACIFIC STREET, BB-1469, BOX 356540, SEATTLE, WA 98195
(206) 543-2470
Mailing address
UNIVERSITY OF WASHINGTON, BOX 356540, 1959 NE PACIFIC STREET, BB-1469, SEATTLE, WA 98195-7429
(206) 543-2673
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ML 60361940
WA
Other
Enumeration date
03/27/2013
Last updated
07/19/2013
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