Provider Demographics
NPI:1245260306
Name:BAILEY, KRISTI L (MD)
Entity type:Individual
Prefix:
First Name:KRISTI
Middle Name:L
Last Name:BAILEY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 6989
Mailing Address - Street 2:MAIL STOP 18913
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97228-6989
Mailing Address - Country:US
Mailing Address - Phone:206-858-7000
Mailing Address - Fax:206-858-7050
Practice Address - Street 1:10330 MERIDIAN AVE N
Practice Address - Street 2:SUITE 370
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-9451
Practice Address - Country:US
Practice Address - Phone:206-528-6000
Practice Address - Fax:206-528-0014
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2016-02-29
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Provider Licenses
StateLicense IDTaxonomies
WAMD00046660.207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA001148880Medicare ID - Type Unspecified