Individual
DR. MARK D. PAPENHAUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3216 NORTON AVE, SUITE 201, EVERETT, WA 98201-4290
(425) 258-4624
Mailing address
728 134TH ST SW, SUITE 120, EVERETT, WA 98204-5322
(425) 297-6200
(425) 297-6250
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
MD00045479
WA
208600000X
Surgery Physician
MD00045479
WA
2086S0129X
Vascular Surgery Physician
Primary
MD00045479
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200111
L&I PROVIDER NUMBER
WA
Enumeration date
01/04/2006
Last updated
06/23/2021
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