Individual
CARLY ROSE MAGNUSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
925 SENECA ST, SEATTLE, WA 98101-2742
(206) 341-0860
Mailing address
925 SENECA ST, SEATTLE, WA 98101-2742
(206) 341-0860
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ML60469854
WA
208M00000X
Hospitalist Physician
Primary
MD60776920
WA
390200000X
Student in an Organized Health Care Education/Training Program
MDRE.ML.60469854
WA
Other
Enumeration date
05/02/2014
Last updated
04/06/2021
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