Basic Information
| Provider Information | |||||||||
| NPI: | 1437549128 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TUEGEL | ||||||||
| FirstName: | COURTNEY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2733 NE 55TH ST | ||||||||
| Address2: | |||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981055527 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8475133721 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1959 NE PACIFIC ST RM BB-527 | ||||||||
| Address2: | BOX 356421 | ||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981956421 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2065433605 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/02/2015 | ||||||||
| LastUpdateDate: | 07/06/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 60556012 | WA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.