Basic Information
| Provider Information | |||||||||
| NPI: | 1316919475 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WHITE | ||||||||
| FirstName: | ERIK | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11808 NORTHUP WAY STE W120 | ||||||||
| Address2: | |||||||||
| City: | BELLEVUE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980051955 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4252841547 | ||||||||
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| Practice Location | |||||||||
| Address1: | 11808 NORTHUP WAY STE W120 | ||||||||
| Address2: | |||||||||
| City: | BELLEVUE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980051955 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4252841547 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/03/2006 | ||||||||
| LastUpdateDate: | 03/17/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | MD60027910 | WA | Y | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | A73426 | CA | N | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.