Provider Demographics
NPI:1891953097
Name:RADMAN-HARRISON, MONIQUE ROCHELLE (MD, MAS)
Entity Type:Individual
Prefix:DR
First Name:MONIQUE
Middle Name:ROCHELLE
Last Name:RADMAN-HARRISON
Suffix:
Gender:F
Credentials:MD, MAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4800 SAND POINT WAY NE # RC.2820
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-3901
Mailing Address - Country:US
Mailing Address - Phone:206-987-4074
Mailing Address - Fax:206-987-3866
Practice Address - Street 1:4800 SAND POINT WAY NE # FA.2112
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-3901
Practice Address - Country:US
Practice Address - Phone:206-987-4074
Practice Address - Fax:206-987-3866
Is Sole Proprietor?:No
Enumeration Date:2008-05-26
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA102330208000000X
WA604546082080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics