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NPI Code Detail

MEDICARE: DR. KATHERINE LOUISE EASTWOOD MD

MEDICARE: DR. KATHERINE LOUISE EASTWOOD 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
1207VM0101XMaternal & Fetal Medicine PhysicianMD00044746WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2337200OTHERINTERNAL ID-MOTOR VEHICLE ID

General Provider Information

NPI Number : 1396820197
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHERINE LOUISE EASTWOOD MD
Provider Business Mailing Address
First Line : 1229 MADISON ST STE 750
Second Line :
City : SEATTLE
State : WA
Zip : 98104-3540
Country : US
Telephone Number : 206-386-2101
Fax Number :
Provider Business Practice Location Address
First Line : 1229 MADISON ST STE 750
Second Line :
City : SEATTLE
State : WA
Zip : 98104-3540
Country : US
Telephone Number : 206-386-2101
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2006
Last Update Date : 11/12/2020

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