Dr. Eric Smith Ketchum, MD - Seattle, WA

Dr. Eric Smith Ketchum, MD

Student in an Organized Health Care Education/Training Program in Seattle, Washington

NPI 1972793537

Eric Smith Ketchum is a Student in an Organized Health Care Education/Training Program based in New Haven, WA. Eric Smith Ketchum practices in Seattle, WA and has the professional credentials of MD. The NPI Number for Eric Smith Ketchum is 1972793537 and holds a License No. (Washington).

The current practice location address for Eric Smith Ketchum is 1959 Ne Pacific St, Seattle, WA and can be reached out via phone at 206-543-0065.

Location: 1959 Ne Pacific St, Seattle, WA, 06510-3220

NPI Number

1972793537

Provider Name

Eric Smith Ketchum

Credential

Provider Entity Type

Individual

Gender

Male

Address

1959 Ne Pacific St, Seattle, WA, 06510-3220

Phone Number

206-543-0065

Fax Number

Provider Enumeration Date

07/30/2007

Last Update Date

03/09/2024

Identifier	Type	State	Issuer
1972793537	05	WA
0260642	01	WA	L&I

Address

1959 Ne Pacific St

City

Seattle

State

Washington

Zip

98195-0001

Phone Number

206-543-0065

Fax Number

Address

1959 Ne Pacific St

City

Seattle

State

Washington

Zip

98195-0001

Phone Number

206-543-0065

Fax Number

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

()

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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