Individual
TATIANA DERIUGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
201 16TH AVE E, SEATTLE, WA 98112
(206) 326-3000
(206) 326-2785
Mailing address
201 16TH AVE E, SEATTLE, WA 98112-5226
(206) 326-3000
(206) 326-2785
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00040879
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
244386
L&I
WA
05
—
8344376
—
WA
Enumeration date
01/22/2007
Last updated
03/30/2021
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