Individual
NOLA ATTAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3901 CREEKSIDE LOOP, SUITE 100, YAKIMA, WA 98902-4801
(509) 966-3259
(509) 966-0191
Mailing address
4540 SAND POINT WAY NE, SUITE 200, SEATTLE, WA 98105-3941
(206) 527-1200
(206) 523-0724
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD00036860
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030004267
RAILROAD MEDICARE RICHLAND
WA
01
—
030004278
RAILROAD MEDICARE YAKIMA
WA
05
—
8235822
—
WA
Enumeration date
06/25/2006
Last updated
01/16/2009
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