Provider Demographics
NPI:1417994278
Name:SWENSON, JAMES D (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:D
Last Name:SWENSON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:805 MADISON ST
Mailing Address - Street 2:SUITE 901
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-1172
Mailing Address - Country:US
Mailing Address - Phone:206-264-8100
Mailing Address - Fax:206-264-8689
Practice Address - Street 1:14841 179TH AVE SE
Practice Address - Street 2:SUITE 330
Practice Address - City:MONROE
Practice Address - State:WA
Practice Address - Zip Code:98272-1161
Practice Address - Country:US
Practice Address - Phone:360-794-3300
Practice Address - Fax:360-794-6610
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2012-07-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00031103207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG70798Medicare UPIN
WAAB04331Medicare PIN