MEDICARE: JAMES S FINE

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	207ZC0006X	Clinical Pathology Physician	MD00023880	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
2	1402	OTHER		INTERNAL ID-MOTOR VEHICLE ID
3	0230968	OTHER	WA	L&I

General Provider Information

NPI Number	:	1295810091
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES S FINE

Provider Business Mailing Address
First Line	:	PO BOX 50095
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98145-5095
Country	:	US
Telephone Number	:	206-543-6420
Fax Number	:

Provider Business Practice Location Address
First Line	:	UNIVERSITY OF WASHINGTON MEDICAL CTR
Second Line	:	1959 NE PACIFIC ST
City	:	SEATTLE
State	:	WA
Zip	:	98195-0001
Country	:	US
Telephone Number	:	206-598-6131
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	11/28/2011

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Directions to “ JAMES S FINE ” Practice Location

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