person
Dr. Ellen M Modell, MD
Specialist in Edmonds, Washington
NPI 1962437491

Ellen M Modell is a Specialist based in Edmonds, WA. Ellen M Modell practices in Edmonds, WA and has the professional credentials of MD. The NPI Number for Ellen M Modell is 1962437491 and holds a License No. MD00031609 (Washington).

The current practice location address for Ellen M Modell is 7320 216Th St Sw, Edmonds, WA and can be reached out via phone at 425-673-3800.

Location: 7320 216Th St Sw, Edmonds, WA, 98026-8006
person
Provider Profile Details
NPI Number
1962437491
Provider Name
Ellen M Modell
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
7320 216Th St Sw, Edmonds, WA, 98026-8006
Phone Number
425-673-3800
Fax Number
Provider Enumeration Date
07/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
130022930 01 WA RR MEDICARE
8221814 05 WA
institution
Provider Business Practice Location Address Details
Address
7320 216Th St Sw
City
State
Zip
98026-8006
Phone Number
425-673-3800
Fax Number
person
Provider Business Mailing Address Details
Address
7320 216Th St Sw
City
State
Zip
98026-8006
Phone Number
425-673-3800
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
MD00031609 (Washington)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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