MEDICARE: DALE E EPPER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	WA027325	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194714790
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DALE E EPPER MD

Provider Business Mailing Address
First Line	:	PO BOX 13684
Second Line	:	DALE E EPPER DBA HIGHLANDS FAMILY PRACTICE
City	:	SEATTLE
State	:	WA
Zip	:	98198-1010
Country	:	US
Telephone Number	:	425-255-2113
Fax Number	:	425-255-1909

Provider Business Practice Location Address
First Line	:	4444 SUNSET BLVD
Second Line	:	DALE E EPPER MD DBA HIGHLANDS FAMILY PRACTICE
City	:	RENTON
State	:	WA
Zip	:	98059
Country	:	US
Telephone Number	:	425-255-2113
Fax Number	:	425-255-1909

Authorized Official
Title or Position	:	PRES
Name	:	DALE E EPPER
Credential	:	MD
Telephone Number	:	425-255-2113

Provider Enumeration Date	:	10/17/2005
Last Update Date	:	08/22/2020

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