Individual
JAMES E CONGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1717 13TH ST, SUITE 300, EVERETT, WA 98201-1621
(425) 297-5500
(425) 297-5514
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
OP00000973
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001259300
GROUP MEDICARE NUMBER
WA
05
—
1021000
—
WA
01
—
OP00000973
STATE LICENSE NUMBER
WA
Enumeration date
06/06/2006
Last updated
12/06/2012
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