Healthcare Provider Details
I. General information
NPI: 1700962453
Provider Name (Legal Business Name): MAY JENNIFER REED
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/27/2006
Last Update Date: 01/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
HARBORVIEW MEDICAL CENTER 325 9TH AVE
SEATTLE WA
98104
US
IV. Provider business mailing address
PO BOX 50095
SEATTLE WA
98145-5095
US
V. Phone/Fax
- Phone: 206-731-3000
- Fax:
- Phone: 206-543-6420
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RG0300X |
| Taxonomy | Geriatric Medicine (Internal Medicine) Physician |
| License Number | MD00026571 |
| License Number State | WA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: