MEDICARE: DR. ARTHUR CODAY JR. 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	208D00000X	General Practice Physician	MD00037767	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0165878	OTHER	WA	DEPT. LABOR & INDUSTRIES
2	MD00037767	OTHER	WA	WA STATE MEDICAL LICENSE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801939954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARTHUR CODAY JR. M.D.

Provider Business Mailing Address
First Line	:	1648 N 180TH ST
Second Line	:
City	:	SHORELINE
State	:	WA
Zip	:	98133-4602
Country	:	US
Telephone Number	:	206-542-7083
Fax Number	:	425-672-1084

Provider Business Practice Location Address
First Line	:	19720 68TH AVE W
Second Line	:	SUITE B
City	:	LYNNWOOD
State	:	WA
Zip	:	98036-4568
Country	:	US
Telephone Number	:	425-776-8414
Fax Number	:	425-672-1084

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

Provider Enumeration Date	:	02/15/2007
Last Update Date	:	03/07/2023

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