Provider Demographics
NPI:1669413183
Name:REES, PATRICIA V (MD)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:V
Last Name:REES
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 1:3216 NORTON AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-4290
Mailing Address - Country:US
Mailing Address - Phone:425-259-3181
Mailing Address - Fax:
Practice Address - Street 1:3216 NORTON AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-4290
Practice Address - Country:US
Practice Address - Phone:425-259-3181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2008-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00027680208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1060193Medicaid
WA0049983OtherLABOR AND INDUSTRY
WAMD00027680OtherSTATE LICENSE NUMBER
WA0049983OtherLABOR AND INDUSTRY
E57825Medicare UPIN