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NPI Code Detail

MEDICARE: DR. PATRICIA JO MUNSON AUD

MEDICARE: DR. PATRICIA JO MUNSON AUD
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
1231H00000XAudiologistLD00004217WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15236MUOTHERWAREGENCE BLUE SHIELD
20209238OTHERWALABOR AND INDUSTRY

General Provider Information

NPI Number : 1851419543
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICIA JO MUNSON AUD
Provider Business Mailing Address
First Line : 6413 FAUNTLEROY WAY SW
Second Line :
City : SEATTLE
State : WA
Zip : 98136-1820
Country : US
Telephone Number : 206-937-8700
Fax Number : 206-935-2451
Provider Business Practice Location Address
First Line : 6413 FAUNTLEROY WAY SW
Second Line :
City : SEATTLE
State : WA
Zip : 98136-1820
Country : US
Telephone Number : 206-937-8700
Fax Number : 206-935-2451
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2007
Last Update Date : 02/11/2015

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Directions to “ DR. PATRICIA JO MUNSON AUD” Practice Location

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