Provider Demographics
NPI:1831234145
Name:ARTMAN, JOHN W (OT)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:W
Last Name:ARTMAN
Suffix:
Gender:M
Credentials:OT
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Mailing Address - Street 1:16030 BOTHELL EVERETT HWY STE 200
Mailing Address - Street 2:THE DONALDSON CLINIC
Mailing Address - City:MILL CREEK
Mailing Address - State:WA
Mailing Address - Zip Code:98012-1741
Mailing Address - Country:US
Mailing Address - Phone:425-745-4910
Mailing Address - Fax:425-745-5709
Practice Address - Street 1:16030 BOTHELL EVERETT HWY STE 200
Practice Address - Street 2:THE DONALDSON CLINIC
Practice Address - City:MILL CREEK
Practice Address - State:WA
Practice Address - Zip Code:98012-1741
Practice Address - Country:US
Practice Address - Phone:425-745-4910
Practice Address - Fax:425-745-5709
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAOT00001575225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0149933OtherDEPT. OF L&I
WA5092AROtherREGENCE
WAG8874479OtherVMMC MEDICARE NUMBER
WA91-1463799OtherTAX ID
WA8343865OtherVMMC DSHS NUMBER
WA8343865Medicaid
WA2323AROtherBLUE SHIELD VM
WA2323AROtherBLUE SHIELD VM
WA91-1463799OtherTAX ID