MEDICARE: DR. MARIAN F MCNAMARA 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	2086S0129X	Vascular Surgery Physician	01037832A	IN
2	2086H0002X	Hospice and Palliative Medicine (Surgery) Physician	MD60036857	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	:	1700969003
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIAN F MCNAMARA M.D.

Provider Business Mailing Address
First Line	:	425 PONTIUS AVE N
Second Line	:	SUITE 300
City	:	SEATTLE
State	:	WA
Zip	:	98109-5452
Country	:	US
Telephone Number	:	206-320-4000
Fax Number	:	206-320-2280

Provider Business Practice Location Address
First Line	:	425 PONTIUS AVE N
Second Line	:	SUITE 300
City	:	SEATTLE
State	:	WA
Zip	:	98109-5452
Country	:	US
Telephone Number	:	206-320-4000
Fax Number	:	206-320-2280

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

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	10/05/2015

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