MEDICARE: MS. PAULA DAWN MCPOLAND 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	2080H0002X	Pediatric Hospice and Palliative Medicine Physician	MD60268742	WA
2	208000000X	Pediatrics Physician	MD60268742	WA

General Provider Information

NPI Number	:	1932340874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PAULA DAWN MCPOLAND MD

Provider Business Mailing Address
First Line	:	4800 SAND POINT WAY NE # B-5506
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98105-3901
Country	:	US
Telephone Number	:	206-987-4005
Fax Number	:

Provider Business Practice Location Address
First Line	:	4800 SAND POINT WAY NE # B-5506
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98105-3901
Country	:	US
Telephone Number	:	206-987-4005
Fax Number	:

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

Provider Enumeration Date	:	03/22/2009
Last Update Date	:	03/16/2021

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