MEDICARE: RICHARD PARKER BILLINGHAM 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
1	208C00000X	Colon & Rectal Surgery Physician	MD00013877	WA

General Provider Information

NPI Number	:	1578528519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD PARKER BILLINGHAM MD

Provider Business Mailing Address
First Line	:	1101 MADISON ST STE 500
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98104-3557
Country	:	US
Telephone Number	:	206-386-6600
Fax Number	:	206-386-2452

Provider Business Practice Location Address
First Line	:	1101 MADISON ST STE 500
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98104-3557
Country	:	US
Telephone Number	:	206-386-6600
Fax Number	:	206-386-2452

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

Provider Enumeration Date	:	04/20/2006
Last Update Date	:	11/24/2008

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