Individual
MARY OCONNELL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12900 NE 180 STREET, SUITE 100, BOTHELL, WA 98011
(425) 398-9355
(425) 486-5913
Mailing address
12900 NE 180 STREET, SUITE 100, BOTHELL, WA 98011
(425) 398-9355
(425) 486-5913
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MD00026764
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1072487
—
WA
Enumeration date
04/13/2006
Last updated
07/08/2007
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