Provider Demographics
NPI:1285633388
Name:FIELD, MICHAEL W (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:W
Last Name:FIELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 6989
Mailing Address - Street 2:MAIL STOP 18913
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97228-6989
Mailing Address - Country:US
Mailing Address - Phone:360-658-2700
Mailing Address - Fax:360-658-5091
Practice Address - Street 1:10330 MERIDIAN AVE N
Practice Address - Street 2:#370
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-9451
Practice Address - Country:US
Practice Address - Phone:206-528-6000
Practice Address - Fax:206-528-0014
Is Sole Proprietor?:No
Enumeration Date:2005-07-20
Last Update Date:2012-08-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00020607207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8360703Medicaid
WA8360703Medicaid
WA001148883Medicare ID - Type UnspecifiedSMOKEY POINT CLINIC
WA8801761Medicare ID - Type UnspecifiedSEQUIM CLINIC