Individual
DR. TRACY SUSAN TYLEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4225 ROOSEVELT WAY NE, SUITE 101, SEATTLE, WA 98105-6099
(206) 598-4882
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD60171767
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0294747
L&I
WA
05
—
1851557862
—
WA
Enumeration date
07/30/2008
Last updated
07/25/2012
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