BETHANY TARA SAMUELSON BANNOW

SEATTLE, WA
NPI1619267556
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RH0000X Internal Medicine, Hematology
(Licence: OR  OR186355)
Additional Taxonomies207RH0003X Internal Medicine, Hematology & Oncology
(Licence: WA  MD60469202)
Enumeration Date2011-04-12
Last Update Date2018-03-17
Business Address
BETHANY TARA SAMUELSON BANNOW MD
825 EASTLAKE AVE E
SEATTLE, WA 98109-4405
Phone number: 206-543-6420
Mailing Address
BETHANY TARA SAMUELSON BANNOW MD
3181 SW SAM JACKSON PARK RD # L586
PORTLAND, OR 97239-3011
Phone number: 206-543-6420