Provider Demographics
NPI:1255316659
Name:FOX, ANGELA C (MS)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:C
Last Name:FOX
Suffix:
Gender:F
Credentials:MS
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 356320
Mailing Address - Street 2:1959 NE PACIFIC ST
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195-6320
Mailing Address - Country:US
Mailing Address - Phone:206-616-7192
Mailing Address - Fax:206-616-7304
Practice Address - Street 1:1959 NE PACIFIC ST
Practice Address - Street 2:BOX 356320 UNIV. OF WASH
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-6320
Practice Address - Country:US
Practice Address - Phone:206-616-7192
Practice Address - Fax:206-616-7304
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS