Provider Demographics
NPI:1407237142
Name:WINTER, ANDREA MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:MARIE
Last Name:WINTER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:19020 33RD AVE W STE 210
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-4748
Mailing Address - Country:US
Mailing Address - Phone:425-563-1500
Mailing Address - Fax:425-563-1501
Practice Address - Street 1:12040 NE 128TH ST
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-3013
Practice Address - Country:US
Practice Address - Phone:425-899-1800
Practice Address - Fax:425-899-1804
Is Sole Proprietor?:No
Enumeration Date:2015-06-17
Last Update Date:2021-10-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD610300732085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0439882OtherL & I - VANCOUVER RADIOLOGISTS
WA0439868OtherL & I - RADIA
WA0439865OtherL & I - RADIA
WA0439876OtherL & I - SOUTH SOUND RADIOLOGY
WA2154897Medicaid
WA0439874OtherL & I - EVERGREEN RADIA
WA0439880OtherL & I - SEATTLE RADIOLOGY
WA0439870OtherL & I - SWEDISH RADIA
WA1407237142Medicaid