Provider Demographics
NPI:1649387275
Name:TING, KAREN R (MD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:R
Last Name:TING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:515 MINOR AVE
Mailing Address - Street 2:SUITE 220
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-2120
Mailing Address - Country:US
Mailing Address - Phone:206-386-9595
Mailing Address - Fax:206-576-3802
Practice Address - Street 1:1200 112TH AVE NE
Practice Address - Street 2:SUITE B250
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-3732
Practice Address - Country:US
Practice Address - Phone:425-462-1132
Practice Address - Fax:425-462-3668
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00033123207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA223010OtherLABOR & INDUSTRY
WA8208936Medicaid
WA2239TIOtherREGENCE
WAP00442306OtherPALMETTO RR MEDICARE
WAMD0027WOtherALASKA MEDICAID
G49225Medicare UPIN
WAP00442306OtherPALMETTO RR MEDICARE