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Individual

IRENE M. THAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
22620 SE 4TH STREET, SUITE #200, SAMMAMISH, WA 98074
(425) 836-5407
(425) 836-5557
Mailing address
22620 SE 4TH STREET, SUITE #200, SAMMAMISH, WA 98074

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD60652549
WA
2080A0000X
Pediatric Adolescent Medicine Physician
0101242206
VA

Other

Enumeration date
11/21/2007
Last updated
11/21/2022
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