| David C Hall Md Ps | |
|
564 Ne Ravenna Blvd Seattle WA 98115-6460 | |
| (206) 527-2266 | |
| (206) 527-1009 |
| Full Name | David C Hall Md Ps |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 564 Ne Ravenna Blvd, Seattle, Washington |
| Authorized Official Name and Position | David Connolly Hall (PRESIDENT) |
| Authorized Official Contact | 2065272266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David C Hall Md Ps 564 Ne Ravenna Blvd Seattle WA 98115-6460 Ph: (206) 527-2266 | David C Hall Md Ps 564 Ne Ravenna Blvd Seattle WA 98115-6460 Ph: (206) 527-2266 |
| NPI Number | 1346436862 |
|---|---|
| Provider Enumeration Date | 09/18/2007 |
| Last Update Date | 09/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346436862 | NPI | - | NPPES |
| 1386771160 | Other | WA | INDIVIDUAL NPI # |
| 1117209 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | MD00017794 (Washington) | Primary |
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