Basic Information
| Provider Information | |||||||||
| NPI: | 1700895059 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SEAMAN | ||||||||
| FirstName: | LINDA | ||||||||
| MiddleName: | D | ||||||||
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| Credential: | MD | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | WREDE-SEAMAN | ||||||||
| OtherFirstName: | LINDA | ||||||||
| OtherMiddleName: | |||||||||
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| OtherCredential: | MD | ||||||||
| OtherLastNameType: | 2 | ||||||||
| Mailing Information | |||||||||
| Address1: | PO BOX 8255 | ||||||||
| Address2: | |||||||||
| City: | YAKIMA | ||||||||
| State: | WA | ||||||||
| PostalCode: | 989080255 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5099659266 | ||||||||
| FaxNumber: | 5099655447 | ||||||||
| Practice Location | |||||||||
| Address1: | 206 S 11TH AVE STE 48 | ||||||||
| Address2: | |||||||||
| City: | YAKIMA | ||||||||
| State: | WA | ||||||||
| PostalCode: | 989023205 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5095755058 | ||||||||
| FaxNumber: | 5095755196 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/05/2006 | ||||||||
| LastUpdateDate: | 09/20/2012 | ||||||||
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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 | 207P00000X | MD00026836 | WA | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207Q00000X | MD00026836 | WA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207QH0002X | MD00026836 | WA | N | Allopathic & Osteopathic Physicians | Family Medicine | Hospice and Palliative Medicine | 2083P0500X | MD00026836 | WA | Y | Allopathic & Osteopathic Physicians | Preventive Medicine | Preventive Medicine/Occupational Environmental Medicine |
No ID Information.