-- ELLEN LYMAN THOMASON DERRICK -- MD
Individual Provider (NPI-1)
Active
Provider Information
- NPI Number
1659480630- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 3216 NE 45TH PL STE 207, SEATTLE, WA, 981054028
- Phone
- (206) 596-3976
- Fax
- (206) 486-9013
Specialties & Taxonomies
Unknown
Primary License: WA #MD00045873