Individual
MICHAEL PATRICK QUIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1730 MINOR AVE, SEATTLE, WA 98101-1498
(206) 287-2500
Mailing address
PO BOX 34584, SEATTLE, WA 98124-1584
(509) 241-7439
(509) 241-7628
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00000457
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8344582
—
WA
Enumeration date
01/18/2007
Last updated
10/15/2007
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