Provider Demographics
NPI:1447368550
Name:MACNAB, AMIE ELIZABETH URTON (MD)
Entity type:Individual
Prefix:DR
First Name:AMIE
Middle Name:ELIZABETH URTON
Last Name:MACNAB
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1560 N 115TH ST
Mailing Address - Street 2:SUITE 106
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-8414
Mailing Address - Country:US
Mailing Address - Phone:206-368-1500
Mailing Address - Fax:206-368-1503
Practice Address - Street 1:1550 N 115TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-8401
Practice Address - Country:US
Practice Address - Phone:206-368-1500
Practice Address - Fax:206-368-1503
Is Sole Proprietor?:No
Enumeration Date:2006-08-28
Last Update Date:2020-05-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD60022508207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1091783Medicaid
WA1447368550Medicaid