Individual
MICHAEL KEITH PICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-2000
Mailing address
PO BOX 5371, SEATTLE, WA 98145-5005
(206) 987-2000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
OP60086591
WA
2080P0206X
Pediatric Gastroenterology Physician
Primary
OP60086591
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912195751
—
WA
Enumeration date
10/05/2007
Last updated
02/07/2023
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