Samuelson Bannow, Bethany Tara

Samuelson Bannow, Bethany Tara is an individual health care provider with primary practice located at 825 Eastlake Ave E , Seattle WA 98109-4405. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Hematology is her primary health care specialty. Samuelson Bannow, Bethany Tara can be contacted via phone (206) 543-6420.

Contact Information

Primary practice address
825 Eastlake Ave E Seattle WA 98109-4405
Phone: (206) 543-6420
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD60469202 Washington
Allopathic & Osteopathic Physicians / Hematology 207RH0000X OR186355 Oregon

Profile Details

NPI number 1619267556
LBN Legal business name Samuelson Bannow, Bethany Tara
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2011
Last updated Mar 17th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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