Individual
DR. ERIC SMITH KETCHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3901 HOYT AVE, EVERETT, WA 98201-4918
(425) 259-0966
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(206) 860-5414
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD6009581
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0260642
L&I
WA
05
—
1972793537
—
WA
Enumeration date
07/30/2007
Last updated
11/04/2025
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