Individual
MARK ALLEN FREEBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12039 NE 128TH ST STE 500, KIRKLAND, WA 98034-3029
(425) 899-4809
(425) 899-4811
Mailing address
805 MADISON STREET, SUITE 901, SEATTLE, WA 98104-1172
(206) 264-8100
(206) 264-8689
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
ML20007796
WA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
MD60002211
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0251103
L & I
WA
01
—
G8884368
MEDICARE KING-CO.
WA
01
—
G8884369
MEDICARE- NON-KING CO.
WA
01
—
G8884370
MEDICARE EMRI
WA
01
—
P00760994
MEDICARE RAILROAD KING CO.
WA
Enumeration date
08/30/2006
Last updated
03/24/2022
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