Provider Demographics
NPI:1710064522
Name:WEBB, DEAN CLIFFORD (RPH)
Entity Type:Individual
Prefix:MR
First Name:DEAN
Middle Name:CLIFFORD
Last Name:WEBB
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24307 NE 10TH ST
Mailing Address - Street 2:
Mailing Address - City:SAMMAMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98074-3502
Mailing Address - Country:US
Mailing Address - Phone:425-868-1392
Mailing Address - Fax:
Practice Address - Street 1:999 3RD AVE
Practice Address - Street 2:SUITE 900
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-4019
Practice Address - Country:US
Practice Address - Phone:206-296-0158
Practice Address - Fax:206-205-6236
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00011507183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist