Healthcare Provider Details

I. General information

NPI: 1588708176
Provider Name (Legal Business Name): STEVEN K BURROWS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2007
Last Update Date: 05/19/2021
Certification Date: 05/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2930 MAPLE ST
EVERETT WA
98201-3832
US

IV. Provider business mailing address

2930 MAPLE ST
EVERETT WA
98201-3832
US

V. Phone/Fax

Practice location:
  • Phone: 425-261-1500
  • Fax: 425-261-1515
Mailing address:
  • Phone: 425-261-1500
  • Fax: 425-261-1515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License NumberMD00038867
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: