Irene Altmann, MD
Individual provider Active NPI Internal Medicine Physician · Everett, WA
NPI 1073588232 · NPPES record last updated Mar 5, 2019
Key facts
- NPI
- 1073588232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 40290 (WA)
- Practice address
- 3927 Rucker Ave
Everett, WA 98201-4833 - Phone
- (425) 339-5422
- Fax
- (425) 339-5444
- NPI assigned
- Feb 21, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40290 | WA | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 40290 | WA | Yes |
Addresses
Primary practice location
3927 Rucker Ave
Everett, WA 98201-4833
Mailing address
PO Box 5127
Everett, WA 98206-5127
Phone (425) 258-3900
Other practice location 1
401 2nd St
Snohomish, WA 98290-3008
Phone (360) 563-8600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1001782 | Medicaid | WA |
Other providers in Everett, WA
- Shirook George Altaweel
- Altea Medical Washington PLLC
- Charles A. Altenberger
- Althea'S Footwear Solutions
- Molly Altman
- Ann Marie Alton
- Gregory Lee Altringer
- Arina Altuhov
- Natalie Alvarado-Lopez
- Nubia Alvarez
All providers in Everett, WA · Internal Medicine Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.