Individual
RAANAN SUSANNE ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3400 CALIFORNIA AVE SW STE 200, SEATTLE, WA 98116-3307
(206) 320-5780
(206) 320-5794
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 233-7489
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A97244
CA
208000000X
Pediatrics Physician
Primary
MD60142080
WA
Other
Enumeration date
04/25/2008
Last updated
10/08/2020
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