Basic Information
Provider Information
NPI: 1740316603
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DOWLING
FirstName: ELIZABETH
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1145 BROADWAY
Address2: THE POLYCLINIC
City: SEATTLE
State: WA
PostalCode: 98122
CountryCode: US
TelephoneNumber: 2063291760
FaxNumber:  
Practice Location
Address1: 747 BROADWAY
Address2: SWEDISH HOSPITAL FIRST HILL
City: SEATTLE
State: WA
PostalCode: 981224307
CountryCode: US
TelephoneNumber: 2063291760
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/26/2007
LastUpdateDate: 05/25/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XMD00047968WAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000XDR48595CON Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000XMD00047968WAY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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