Individual
NICHOLAS VERNON BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 BROADWAY STE 270, SEATTLE, WA 98122-5392
(206) 625-0578
(206) 625-9184
Mailing address
PO BOX 840842, DALLAS, TX 75284-0842
(206) 625-0578
(206) 625-9184
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD61139281
NV
207L00000X
Anesthesiology Physician
PG199400
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2016
Last updated
08/14/2021
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