Provider Demographics
NPI:1801961388
Name:PARTINGTON, MARSHALL (MD)
Entity type:Individual
Prefix:
First Name:MARSHALL
Middle Name:
Last Name:PARTINGTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8309 165TH AVE NE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-3939
Mailing Address - Country:US
Mailing Address - Phone:425-883-2294
Mailing Address - Fax:
Practice Address - Street 1:8309 165TH AVE NE
Practice Address - Street 2:SUITE 101
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-3939
Practice Address - Country:US
Practice Address - Phone:425-883-2294
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00033458208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA123653OtherLABOR AND INDUSTRIES
WA1104355Medicaid
WAPA5893OtherREGENCE
WA123653OtherLABOR AND INDUSTRIES
WAAB11191Medicare ID - Type Unspecified