Individual
BLAKE ELEANOR HENLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 MADISON ST STE 100, SEATTLE, WA 98104-1316
(206) 386-6197
Mailing address
1401 MADISON ST STE 100, SEATTLE, WA 98104-1316
(206) 386-6197
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD61444043
WA
Other
Enumeration date
03/25/2021
Last updated
07/11/2024
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