Provider Demographics
NPI:1093135915
Name:RIDDLE, MEGAN CHRISTINE (MD PHD)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:CHRISTINE
Last Name:RIDDLE
Suffix:
Gender:F
Credentials:MD PHD
Other - Prefix:
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Mailing Address - Street 1:1959 NE PACIFIC ST
Mailing Address - Street 2:BOX 356560
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195-6560
Mailing Address - Country:US
Mailing Address - Phone:360-303-9113
Mailing Address - Fax:
Practice Address - Street 1:1231 116TH AVE NE STE 350
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-3834
Practice Address - Country:US
Practice Address - Phone:425-454-1010
Practice Address - Fax:425-880-5816
Is Sole Proprietor?:No
Enumeration Date:2014-04-17
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD606768642084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAMD60676864OtherSTATE LICENSE