Basic Information
| Provider Information | |||||||||
| NPI: | 1528238284 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | KAREN B. VANIVER, MD, FACS, PS | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 50150 | ||||||||
| Address2: | |||||||||
| City: | BELLEVUE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980150150 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4252285228 | ||||||||
| FaxNumber: | 4252285733 | ||||||||
| Practice Location | |||||||||
| Address1: | 1221 MADISON ST | ||||||||
| Address2: | SUITE 1520 | ||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981043588 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2062926226 | ||||||||
| FaxNumber: | 2066238825 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/08/2008 | ||||||||
| LastUpdateDate: | 03/08/2008 | ||||||||
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| AuthorizedOfficialLastName: | VANIVER | ||||||||
| AuthorizedOfficialFirstName: | KAREN | ||||||||
| AuthorizedOfficialMiddleName: | BETH | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 2062926226 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2086S0122X | MD00045935 | WA | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Surgery | Plastic and Reconstructive Surgery |
No ID Information.