Provider Demographics
NPI:1003032681
Name:FELIX, AMBER MARIE (SPECIALIST)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:MARIE
Last Name:FELIX
Suffix:
Gender:F
Credentials:SPECIALIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3746 S 188TH LN
Mailing Address - Street 2:
Mailing Address - City:SEATAC
Mailing Address - State:WA
Mailing Address - Zip Code:98188-5209
Mailing Address - Country:US
Mailing Address - Phone:206-824-7200
Mailing Address - Fax:206-824-7720
Practice Address - Street 1:22226 6TH AVE S STE 101
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:WA
Practice Address - Zip Code:98198-6246
Practice Address - Country:US
Practice Address - Phone:206-824-7200
Practice Address - Fax:206-824-7720
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00023657174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist