Basic Information
Provider Information
NPI: 1760538144
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MARCUS
FirstName: DEBORAH
MiddleName: RUTH
NamePrefix: DR.
NameSuffix:  
Credential: WHNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2001 E MADISON
Address2:  
City: SEATTLE
State: WA
PostalCode: 981224216
CountryCode: US
TelephoneNumber: 2063287722
FaxNumber:  
Practice Location
Address1: 2001 E MADISON ST
Address2:  
City: SEATTLE
State: WA
PostalCode: 981222959
CountryCode: US
TelephoneNumber: 2063287722
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/26/2007
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LW0102X6773CAN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
363LW0102XAP60486006WAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health

No ID Information.


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