Individual
DR. MICHAEL HOM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 PACIFIC AVE, SUITE 100, EVERETT, WA 98201-4261
(206) 244-1212
(206) 244-1223
Mailing address
PO BOX 5908, BELLEVUE, WA 98006-0408
(206) 244-1212
(206) 244-1223
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00023238
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0175854
DEPT OF LABOR & INDUSTRIE
WA
05
—
1053263
—
WA
01
—
5613HO
REGENCE BLUE SHIELD
WA
01
—
8931038
CRIME VICTIMS PROGRAM
WA
Enumeration date
10/28/2005
Last updated
07/08/2007
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