Individual provider · Type 1 NPI
Donald Gene Wortham, MD
Ambulatory Surgical Clinic/Center · Lynnwood, WA
NPI number
1164504197
Active
Practice location
19109 36th Ave W, Suite 109
Lynnwood, WA 98036-5767
Fax (425) 744-7774
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | MD00020164 (WA) |
Ambulatory Surgical Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1164504197
Donald Gene Wortham, MD's National Provider Identifier is 1164504197, issued on Oct 19, 2006. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Lynnwood, WA. The record was last updated on Jan 22, 2014.