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NPI Code Detail

MEDICARE: DR. CAMELIA G WHITTEN MD

MEDICARE: DR. CAMELIA G WHITTEN 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
12085R0202XDiagnostic Radiology PhysicianMD00046751WA

Other Identifiers

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

General Provider Information

NPI Number : 1639179096
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CAMELIA G WHITTEN MD
Provider Business Mailing Address
First Line : 19020 33RD AVE W STE 210
Second Line :
City : LYNNWOOD
State : WA
Zip : 98036-4748
Country : US
Telephone Number : 425-563-1500
Fax Number : 425-563-1374
Provider Business Practice Location Address
First Line : 19020 33RD AVE W STE 210
Second Line :
City : LYNNWOOD
State : WA
Zip : 98036-4748
Country : US
Telephone Number : 425-563-1500
Fax Number : 425-563-1501
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2005
Last Update Date : 04/30/2019

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Directions to “ DR. CAMELIA G WHITTEN MD” Practice Location

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