Provider Demographics
NPI:1215370630
Name:MAY, CAITLIN J (MD)
Entity Type:Individual
Prefix:DR
First Name:CAITLIN
Middle Name:J
Last Name:MAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2330 130TH AVE NE STE 201
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-1756
Mailing Address - Country:US
Mailing Address - Phone:425-455-9945
Mailing Address - Fax:425-455-9947
Practice Address - Street 1:2330 130TH AVE NE STE 201
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-1756
Practice Address - Country:US
Practice Address - Phone:425-455-9945
Practice Address - Fax:425-455-9947
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-16
Last Update Date:2019-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60676910207ND0900X, 207N00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathologyGroup - Multi-Specialty
No207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Multi-Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Multi-Specialty