Provider Demographics
NPI:1386679918
Name:ENDOW, CURTIS S (MD)
Entity Type:Individual
Prefix:
First Name:CURTIS
Middle Name:S
Last Name:ENDOW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 9TH AVE
Mailing Address - Street 2:MS M4-PA
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-2756
Mailing Address - Country:US
Mailing Address - Phone:206-583-6025
Mailing Address - Fax:206-515-5886
Practice Address - Street 1:33501 1ST WAY S
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-6208
Practice Address - Country:US
Practice Address - Phone:253-838-2400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2011-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00020843207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAUS0899619OtherAETNA/USHC PCP
WAUS4119931OtherAETNA/USHC SPECIALIST
110088617OtherRAILROAD MEDICARE
WA805688000OtherIDAHO MEDICAID
WA1008242Medicaid
WA0039581OtherLABOR & INDUSTRY
WAEN1771OtherBLUE SHIELD
WA8901939Medicare PIN
WA805688000OtherIDAHO MEDICAID
WA0039581OtherLABOR & INDUSTRY