Healthcare Provider Details

I. General information

NPI: 1053356303
Provider Name (Legal Business Name): ANNE H REESE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2006
Last Update Date: 09/29/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

357 NW RICHMOND BEACH RD RICHMOND PEDIATRICS
SHORELINE WA
98177
US

IV. Provider business mailing address

357 NW RICHMOND BEACH RD RICHMOND PEDIATRICS
SHORELINE WA
98177
US

V. Phone/Fax

Practice location:
  • Phone: 206-546-2421
  • Fax: 206-546-8436
Mailing address:
  • Phone: 206-546-2421
  • Fax: 206-546-8436

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number42547
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License Number42547
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: