Individual
AUDRA L MEADOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
4744 41ST AVE SW, 102, SEATTLE, WA 98116-4570
(206) 248-0150
(206) 248-9306
Mailing address
4744 41ST AVE SW, 102, SEATTLE, WA 98116-4570
(206) 248-0150
(206) 248-9306
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6019960260010001
UBI NUMBER
WA
01
—
MAOOOO9805
LMP
WA
Enumeration date
05/14/2007
Last updated
07/08/2007
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