Provider Demographics
NPI:1174659031
Name:BARLOW, ANNE MARIE (LMP)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:MARIE
Last Name:BARLOW
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 790
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-0029
Mailing Address - Country:US
Mailing Address - Phone:425-392-4387
Mailing Address - Fax:425-313-0198
Practice Address - Street 1:1595 NW GILMAN BLVD
Practice Address - Street 2:SUITE 15
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-5329
Practice Address - Country:US
Practice Address - Phone:425-392-4387
Practice Address - Fax:425-313-0198
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00006691174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WABA4141OtherREGENCE PROVIDER NUMBER