Paul David Mortlock in Lynnwood - Medical
Paul David Mortlock - NPI 1376506733
Paul David Mortlock is a Medical in Lynnwood, Washington. Paul David Mortlock practices all healthcare services and medical treatments related to Medical. The NPI Number for Paul David Mortlock is 1376506733. The last update date is 2018-12-17.
Paul David Mortlock's current location address is 19020 33rd Ave W Ste 210, Lynnwood, Washington. You can contact this provider via phone number 4255631500 and fax number 4255631374. The mailing address for Paul David Mortlock is 19020 33rd Ave W Ste 210, Lynnwood, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul David Mortlock |
|---|---|
| Address | 19020 33rd Ave W Ste 210, Lynnwood, Washington |
| Phone Number | 4255631500 |
| Fax Number | 4255631374 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1376506733 |
|---|---|
| Provider Enumeration Date | 2006-04-07 |
| Last Updated Date | 2018-12-17 |
Provider Mailing Address Detail
| Address | 19020 33rd Ave W Ste 210 |
|---|---|
| City | Lynnwood |
| State | Washington (WA) |
| Post Code | 980364748 |
| Phone Number | 4255631500 |
| Fax Number | 4255631374 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA10004695 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 807410400 | ID | -- | |
| 8418188 | WA | -- |
Post Comment/ Review Below
What is the Paul David Mortlock's unique identification number?
The Paul David Mortlock has been assigned the NPI (National Provider Identifier) Number 1376506733 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Paul David Mortlock's facilities are situated?
The facilities of Paul David Mortlock are physically located at the following address: 19020 33Rd Ave W Ste 210, Lynnwood, WA, 980364748.
What is Paul David Mortlock's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Paul David Mortlock's specialized field of practice is Medical, and the corresponding taxonomy code that categorizes this area of specialization is 363Am0700X.
When did the Paul David Mortlock receive its 1376506733?
The Paul David Mortlock was issued its 1376506733 on 2006-04-07, which is the date when the organization was assigned this unique identifier.
When was the information regarding Paul David Mortlock most recently updated?
The details pertaining to the Paul David Mortlock, including its address, specialty, and other relevant information, were last refreshed on 2018-12-17.