Individual
SUSAN M OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
UWMC-ROOSEVELT, 4245 ROOSEVELT WAY NE, SEATTLE, WA 98105-4740
(206) 598-4288
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD00017153
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0231724
L&I
WA
05
—
1972683977
—
WA
01
—
2674
INTERNAL ID-MOTOR VEHICLE ID
—
Enumeration date
10/16/2006
Last updated
11/13/2014
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