Individual
GRETCHEN A. WEITKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 E JEFFERSON ST STE 510, SEATTLE, WA 98122-5648
(206) 320-4888
(206) 320-4203
Mailing address
PO BOX 84026, SEATTLE, WA 98124-8426
(206) 760-9041
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00031146
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8157539
—
WA
Enumeration date
11/13/2006
Last updated
10/09/2020
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