Individual
AUTUMN WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
10655 NE 4TH ST, SUITE 101, BELLEVUE, WA 98004-5035
(425) 455-2225
(425) 454-7767
Mailing address
10655 NE 4TH ST, SUITE 101, BELLEVUE, WA 98004-5035
(425) 455-2225
(425) 454-7767
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60035019
WA
Other
Enumeration date
04/12/2010
Last updated
04/12/2010
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