Individual
DR. BLAKE MICHAEL BURCH I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-5156
(206) 598-2094
Mailing address
1959 NE PACIFIC STREET BOX 357115, SEATTLE, WA 98195-7115
(206) 598-2094
(206) 543-6317
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
58876
FL
390200000X
Student in an Organized Health Care Education/Training Program
OL61423697
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/22/2022
Last updated
06/08/2023
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