Provider Demographics
NPI:1528226420
Name:ARAW, ANNA CLARISSA ALUQUIN (MD)
Entity Type:Individual
Prefix:
First Name:ANNA CLARISSA
Middle Name:ALUQUIN
Last Name:ARAW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 5TH AVE STE 600
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-3186
Mailing Address - Country:US
Mailing Address - Phone:206-320-2103
Mailing Address - Fax:206-320-4194
Practice Address - Street 1:1221 MADISON ST STE 200
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104
Practice Address - Country:US
Practice Address - Phone:206-386-2126
Practice Address - Fax:206-991-2363
Is Sole Proprietor?:No
Enumeration Date:2008-05-28
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60286028207Q00000X, 207QG0300X, 207QH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAP01251899OtherRAILROAD MEDICARE
WA1528226420Medicaid
WA1528226420Medicaid