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NPI Code Detail

MEDICARE: KAREN BETTY TOM M.D.

MEDICARE: KAREN BETTY TOM 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
1207P00000XEmergency Medicine PhysicianMD00016406WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1U72583OTHERWAREGENCE BLUESHIELD
262013OTHERWALABOR & INDUSTRIES
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477592038
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN BETTY TOM M.D.
Provider Business Mailing Address
First Line : 9801 FRONTIER AVE SE
Second Line :
City : SNOQUALMIE
State : WA
Zip : 98065-5200
Country : US
Telephone Number : 425-831-2300
Fax Number : 425-831-2361
Provider Business Practice Location Address
First Line : 9801 FRONTIER AVE SE
Second Line :
City : SNOQUALMIE
State : WA
Zip : 98065-5200
Country : US
Telephone Number : 425-831-2321
Fax Number : 425-831-2361
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2006
Last Update Date : 04/17/2015

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Directions to “ KAREN BETTY TOM M.D.” Practice Location

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