Individual
SIGNA MOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1331 COLBY AVE, EVERETT, WA 98201
(425) 261-2000
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 261-2000
(425) 261-4078
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00041403
WA
208M00000X
Hospitalist Physician
MD00041403
WA
Other
Enumeration date
09/14/2006
Last updated
05/25/2021
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