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Individual

DR. TRAVIS ALLEN OMURA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
809A NW 53RD ST, SEATTLE, WA 98107-3644
(970) 314-3684
Mailing address
809A NW 53RD ST, SEATTLE, WA 98107-3644
(970) 314-3684

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD60453867
WA
207P00000X
Emergency Medicine Physician
MT200154
PA

Other

Enumeration date
07/07/2011
Last updated
09/22/2014
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