Individual
MARK P CAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-5128
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
01045572A
IN
2088P0231X
Pediatric Urology Physician
01045572A
IN
2088P0231X
Pediatric Urology Physician
Primary
MD60932505
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000190938
ANTHEM PTAN
IN
01
—
000001039992
ANTHEM PTAN
IN
05
—
1912993320
—
WA
05
—
200104710
—
IN
05
—
300081269
—
IN
Enumeration date
09/21/2005
Last updated
03/04/2025
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