Individual
DR. KATHERINE A MANDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
801 BROADWAY STE 300, SEATTLE, WA 98122-4334
(206) 215-3500
(206) 215-6499
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 233-7489
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
249570
MA
2086S0102X
Surgical Critical Care Physician
249570
MA
2086S0127X
Trauma Surgery Physician
Primary
249570
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110090277A
—
MA
Enumeration date
08/29/2006
Last updated
06/17/2021
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