Provider Demographics
NPI:1154671865
Name:CHISHOLM, KAREN MARIE (MD, PHD)
Entity Type:Individual
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First Name:KAREN
Middle Name:MARIE
Last Name:CHISHOLM
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Gender:F
Credentials:MD, PHD
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Mailing Address - Street 1:4800 SAND POINT WAY NE, OC.8.720
Mailing Address - Street 2:SEATTLE CHILDREN'S HOSPITAL, DEPARTMENT OF LABORATORIES
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105
Mailing Address - Country:US
Mailing Address - Phone:206-987-5889
Mailing Address - Fax:206-987-3840
Practice Address - Street 1:4800 SAND POINT WAY NE, OC.8.720
Practice Address - Street 2:SEATTLE CHILDREN'S HOSPITAL, DEPARTMENT OF LABORATORIES
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105
Practice Address - Country:US
Practice Address - Phone:206-987-5889
Practice Address - Fax:206-987-3840
Is Sole Proprietor?:No
Enumeration Date:2012-09-11
Last Update Date:2015-07-28
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Provider Licenses
StateLicense IDTaxonomies
WA60529141207ZH0000X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZH0000XAllopathic & Osteopathic PhysiciansPathologyHematology