Healthcare Provider Details

I. General information

NPI: 1073073508
Provider Name (Legal Business Name): CAMERON EGAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2019
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 BROADWAY STE 600
SEATTLE WA
98122-5330
US

IV. Provider business mailing address

601 BROADWAY STE 600
SEATTLE WA
98122-5330
US

V. Phone/Fax

Practice location:
  • Phone: 206-386-6000
  • Fax:
Mailing address:
  • Phone: 206-386-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD.70006323
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License NumberMD.70006323
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: