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General NPI Number Information
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NPI Number | 1104902857
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Entity Type | Individual
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Provider Name | DAVID BRANCH ROWLETT III
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Gender | Male
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 11/10/2020
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Provider Practice Location Address
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Address Line | HARBORVIEW MEDICAL CENTER 325 9TH AVE
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City | SEATTLE
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State | WA
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Zip | 98104
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Country | US
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Telephone | 206-744-5846
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Fax |
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Provider Business Mailing Address
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Address Line | 6400 SOUTHCENTER BLVD
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City | TUKWILA
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State | WA
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Zip | 98188-2547
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Country | US
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Telephone | 206-543-6420
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD00014137
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License Number State | WA
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