Basic Information
Provider Information
NPI: 1699065193
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BROWN
FirstName: ALISHA
MiddleName: EMILY CUTLER
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: CUTLER
OtherFirstName: ALISHA
OtherMiddleName: EMILY
OtherNamePrefix: MISS
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: PO BOX 50095
Address2:  
City: SEATTLE
State: WA
PostalCode: 981455095
CountryCode: US
TelephoneNumber: 2065205700
FaxNumber:  
Practice Location
Address1: 325 9TH AVE
Address2:  
City: SEATTLE
State: WA
PostalCode: 981042420
CountryCode: US
TelephoneNumber: 2067443074
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/18/2011
LastUpdateDate: 10/07/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000XMD60540591WAY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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