Provider Demographics
NPI:1073781894
Name:MARTIN CAHN MD PS
Entity Type:Organization
Organization Name:MARTIN CAHN MD PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:JANE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CAHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-545-9300
Mailing Address - Street 1:3601 FREMONT AVE N
Mailing Address - Street 2:STE 309
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-8753
Mailing Address - Country:US
Mailing Address - Phone:206-545-9300
Mailing Address - Fax:206-545-0491
Practice Address - Street 1:3601 FREMONT AVE N
Practice Address - Street 2:STE 309
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-8753
Practice Address - Country:US
Practice Address - Phone:206-545-9300
Practice Address - Fax:206-545-0491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-14
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD0020070207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1111616Medicaid
WAD33644Medicare UPIN
WAGAB17329Medicare PIN