Healthcare Provider Details

I. General information

NPI: 1295950467
Provider Name (Legal Business Name): ELIZABETH CHRISTINE HUTCHINSON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ELIZABETH CHRISTINE RILEY MD

II. Dates (important events)

Enumeration Date: 04/14/2007
Last Update Date: 09/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3815 S OTHELLO ST SECOND FLOOR
SEATTLE WA
98118-3510
US

IV. Provider business mailing address

PO BOX 24911
SEATTLE WA
98124-0911
US

V. Phone/Fax

Practice location:
  • Phone: 206-788-3500
  • Fax: 206-788-3521
Mailing address:
  • Phone: 206-788-3500
  • Fax: 206-788-3521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD00047330
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: