Provider Demographics
NPI:1700969003
Name:MCNAMARA, MARIAN F (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIAN
Middle Name:F
Last Name:MCNAMARA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:425 PONTIUS AVE N
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-5452
Mailing Address - Country:US
Mailing Address - Phone:206-320-4000
Mailing Address - Fax:206-320-2280
Practice Address - Street 1:425 PONTIUS AVE N
Practice Address - Street 2:SUITE 300
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-5452
Practice Address - Country:US
Practice Address - Phone:206-320-4000
Practice Address - Fax:206-320-2280
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01037832A2086S0129X
WAMD600368572086H0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086H0002XAllopathic & Osteopathic PhysiciansSurgeryHospice and Palliative Medicine
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN60342733Medicaid
E16778Medicare UPIN