Individual
ANDREA LEGGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
19036 FRONT ST NE STE 100, POULSBO, WA 98370-7354
(360) 979-0569
(877) 805-9505
Mailing address
PO BOX 2940, POULSBO, WA 98370-2940
(360) 979-0569
(360) 930-8213
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00041542
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
172269
LABOR & INDUSTRIES
WA
01
—
7146476
AETNA
—
05
—
8356883
—
WA
01
—
8918CH
REGENCE BLUESHIELD
—
01
—
P00045628
RAILROAD MEDICARE
—
Enumeration date
05/11/2006
Last updated
10/31/2024
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