Provider Demographics
NPI:1093731135
Name:AVENDANO, KATHARINE BARRETT (DO)
Entity Type:Individual
Prefix:DR
First Name:KATHARINE
Middle Name:BARRETT
Last Name:AVENDANO
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Gender:F
Credentials:DO
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Mailing Address - Street 1:2113 E LAKE SAMMAMISH PKWY SE
Mailing Address - Street 2:
Mailing Address - City:SAMMAMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98075-9616
Mailing Address - Country:US
Mailing Address - Phone:425-827-0100
Mailing Address - Fax:425-827-0166
Practice Address - Street 1:12301 NE 10TH PL
Practice Address - Street 2:SUITE 100
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-1431
Practice Address - Country:US
Practice Address - Phone:425-827-0100
Practice Address - Fax:425-827-0166
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2020-11-24
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Provider Licenses
StateLicense IDTaxonomies
WA025207225400000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner