MEDICARE: DR. MARK ALAN SILVER 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	174400000X	Specialist	MD00021572	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	:	1790869352
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK ALAN SILVER MD

Provider Business Mailing Address
First Line	:	6100 219TH ST SW STE 480
Second Line	:
City	:	MOUNTLAKE TERRACE
State	:	WA
Zip	:	98043-2222
Country	:	US
Telephone Number	:	425-774-5104
Fax Number	:	425-778-2620

Provider Business Practice Location Address
First Line	:	6100 219TH ST SW STE 480
Second Line	:
City	:	MOUNTLAKE TERRACE
State	:	WA
Zip	:	98043-2222
Country	:	US
Telephone Number	:	425-774-5104
Fax Number	:	425-778-2620

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

Provider Enumeration Date	:	10/24/2006
Last Update Date	:	08/18/2020

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