MEDICARE: DR. DAVID M WHITE M.D.

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
1	208600000X	Surgery Physician	MD24006	OR
2	208600000X	Surgery Physician	MD00034378	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396713962
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID M WHITE M.D.

Provider Business Mailing Address
First Line	:	1101 MADISON ST STE 301
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98104-3599
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1101 MADISON ST STE 301
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98104-3599
Country	:	US
Telephone Number	:	206-505-1300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2006
Last Update Date	:	02/14/2020

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Directions to “ DR. DAVID M WHITE M.D.” Practice Location

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