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NPI Code Detail

MEDICARE: CHAD R MAGNUSON MD

MEDICARE: CHAD R MAGNUSON MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD00037413WA

General Provider Information

NPI Number : 1265473102
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHAD R MAGNUSON MD
Provider Business Mailing Address
First Line : PO BOX 34703
Second Line :
City : SEATTLE
State : WA
Zip : 98124-1703
Country : US
Telephone Number : 253-681-6626
Fax Number : 206-568-7043
Provider Business Practice Location Address
First Line : 2450 33RD AVE W
Second Line : SUITE 100
City : SEATTLE
State : WA
Zip : 98199-3252
Country : US
Telephone Number : 206-320-3364
Fax Number : 206-320-5869
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2006
Last Update Date : 07/05/2024

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Directions to “ CHAD R MAGNUSON MD” Practice Location

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