Individual
JOHN WILLIAM O'KANE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3850 MONTLAKE BLVD NE RM 148 B, ARENA/HEC EDMUNDSON PAVILLION, SEATTLE, WA 98195-0001
(206) 543-1552
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD00033072
WA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD00033072
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0231684
L&I
WA
01
—
1581
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
1912082736
—
WA
Enumeration date
10/27/2006
Last updated
09/27/2011
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